HomeMy WebLinkAbout0100391-Electric (service change) SHKOSH
ON THE WATER
,.lob Address 2127 ASHLAND ST
Contractor J.A.W.S. ELECTRIC
Service ~ New 1~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTR,tC PERMIT - APPLICATION AND RECORD
Am ps 100
(]]) Temp
Owner
Category
MICHELLE GUENTHER
634 - Residential-Service Change
Type _(~__ Overhead
Circuits 0
Switches 0
No 100391 ~
Create Date 03/25/2003
Plan
_(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service upgrade.
Work
Fees: Valuation
Issued By: y
$650.00 Plan Approval $0.00 Permit Fee Paid $30.00
[] Permit Voided
Date 03~26~2003
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature ~~~ Date
Agent/Owner
Address PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
ity of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THF ~,~ATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· 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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JOB ADDRESS
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family mDuplex F1Multi-Family mRental
SERVICE F1New [2Temporary TYPE
lglChange F1Not Applicable
F1Commercial Fllndustrial
~Overhead F1Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /~o / g4, c, Receptacles#
Phase } (~
Amps loC> Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FIRange
EIFan OR Blower
F'IMotors
F1Dishwasher
F1Fumace
[]Gas Pumps
F1Garbage Disposal
IDA~C
r-lOther
F1Dryer
[=]Electric Sign
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
3/02