HomeMy WebLinkAbout0100361-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 414 MADISON ST
Contractor DREXLER ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RAYMOND A THOMSEN
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100361
Create Date 03/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service entrance replacement (as instructed by Jon Fischer, Elect. Inspector).
Work
Fees: Valuation
Issued By:
$750.00 Plan Approval $0.00 Permit Fee Paid
$35.00
Date 03/24/2003
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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number
589-6700
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICAT~t~
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE
CONTRACTOR
CIRCLE ALL APPLICABLE
USE CATEGORY SIN~"~FAMILP DUPLEX
SERVICE NEW
TYPE ~ UNDERGROUND
NO. OF FIXTURES SWITCHES
MULTI -FAMILY
VOLTS /~
RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
/ 7__e-~ PHASE
CHECK ALL APPLICABLE
RANGE
DISHWASHER
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSAL
FURNACE
GAS PUMPS
DRYER
A/C
OTHER
· Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
Job Address 414 MADISON ST
Electric Permit Work Card
Permit Number 100361
Create Date 03/19/2003
.,
OWl}sr' RAYMOND A THOMSEN
Category 634. Residential-Service Change
Service b New . ChangeO Temp 0 N/A
Contractor DREXLER ELECTRIC
I Type . Overhead ___0 .Underw()un~ O~~__~
Volts 120/240
Circuits
o
o
Fixtures
o
o
$750.00
Amps 100
Switches
Fee $35.00
o
Receptacles
Value
Appliances
Use/Nature
of Work
FR/ Service entrance replacement (as instructed by Jon Fischer, Elect. Inspector).
Date
Type Service
Inspector Jon Fischer
approved
Inspections:
4/11/03 anytime use back door
4/11/03 approved
4/11/03 called in
4/21/03 mailed in
Date/Time requested: 04/10/2003 01:09 PM
Access:
Notice Type:
Phone Number:
Ready Date/Time: 04/10/2003 01 :09 PM Requested by:
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid