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HomeMy WebLinkAbout0100174-Electric (service change)OSHKOSH ON THE WATER .lob Address 670 FRANKLIN ST Contractor VAN ERT ELECTRIC Service [~ New (~ Change Volts 120/240 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner SCHMIEDEL ENTERPRISES LLC Category 634- Residential-Service Change Amps 100 ~ Temp Type I~ Overhead Circuits 0 Switches 10 No 100174 Create Date 03/12/2003 Plan ~ Underground Fixtures Receptacles 3 20 Appliances Use/Nature of SFR/Upgrade electric service and change out some switches, receptacles, and light fixtures. *Job #F1512-DG. Work Fees: Valuation Issued By: $1,150.00 Plan Approval $0.00 Permit Fee Paid $60.00 Date 03/12/2003 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number 920-766-3888 03/12/02 11:41 FAX 920 766 0883__ VAN ERT £LECTRI¢ ~002 City of Oshl~sh Division of Inspection Services P.O. Box ! 130 Oshkosh, WI 54903-1130 Pl~one (920) 236-5050 Fax (920) 236-5084 ELECTRICAL PERMIT APPLICATION Ail information after bold c.a~d~ must be provided. Incomplete applications will not be processed. .QZHKOZH · Application(s) and fee(s) can be thought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus normal permit fee, which ever is greater. OR. If you are a contractor participating jrt the Permit Fl?e Afc~au__n_t~gsX_e_m_ and_h_ave_adeauat¢ funds, check f if ¥o_u want this processed through your account~ JOB ~OI~.Ss OVn R COSTR Cro DATE ~//~/~_~ CHECK [~ ALL APPLICABLE USE CATEGORY ~ilSingle Family l"lDuplex I-lMulti-Family SERVICE I-INcw ~i~Chang¢ ClTcmporary E]Not Applicable FIp.,ental FICommercial Fl/,ndustriai TYPE iaOverhead CINot Applicable r'lUndetgrotmd FILL IN ~ APPROPRIATE BLANK WITH THE NUMBER Volts ·/'F_.~ / :Z~/O Receptacles # ~0 Circuits Phase __ ~,'.~ Amps CH]~CK 1ol ALL APPLICABLE DRange I:]Dishwashc~ FlOarbage Disposal [3Dryer [IWater Heater EIFan OR Blower ClFumace F1AIC ClElectric Sign r'lMotors EJGas Pumps ClOt.her ''' '"": I'"ff~t,,"---an~'.i~t..~,r~tn'~f''1/ .~lt.~'~/.,.~' ' ., i : ,~I~.~r' '~a.~,~.~TM - ~ ~' - ' - ' ' VA.[,UE (Indudlng labor and aH mterills includin~ light fixtures) $ MASTER ELECTRICIAN