HomeMy WebLinkAbout0100208-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 2505 OREGON ST
Contractor LARK ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MAURO/CYNTHIA MARTINEZ
Category 644- Commercial-Service Change
Amps 400
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100208
Create Date 03/14/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Mario's Place/Service change.
Work
Fees: Valuation
Issued By:
$4,000.00
Plan Approval
$0.00 Permit Fee Paid
$90.00
Date 03/14/2003
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 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
C~ty of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
NAR 0 7 2.005
DEPARTMENT OF
COMMUNITY DEVELOPMENT
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete apPlications will not be processed.
O/HKO/H
ON THE WATER
· Application(s) and fee(s) can be brought 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor particiPatin~ in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
DATE _~/~ff,,67,~ ~9 ~
JOB ADDRESS
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
EISingle Family CIDuplex FIMulti-FamilY F1Rental
SERVICE F1New F1Temporary TYPE
[]Change FINot Applicable
FC'lCommercial Fllndustrial
F1Overhead FINot Applicable
IEIUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts i2~> / ~-ro Receptacles#
Phase ~
Amps - qao Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FIRange F1Dishwasher E]Garbage Disposal
F1Fan OR Blower F1Fumace F'IA/C
ElMotors EIGas Pumps [-lOther
DESCRIPTION OF ALL WORK BEING DONE
EIDryer
EIElectric Sign
[2]Water Heater
materials
VALUE (Including labor and all
MASTER ELECTRICIAN __
3/02