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HomeMy WebLinkAbout0091246-Electric (service change) l CITY OF OSHKOSH No 91246 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1632 MINNESOTA ST Owner RODNEY /DARLENE GRUNSKE Create Date 11/12/2001 Contractor VAN ERT ELECTRIC Category 634 - Residential - Service Change Plan Service 0 New 0 Change O Temp Type • Overhead O Underground Volts 120/240 Circuits Fixtures Amps 100 Switches Receptacles Appliances Use /Nature of I,SFR/ Move meter to outside and change service mast. *Job #F1234 CE Work Fees: Valuation $750.00 Plan Approval $0.00 Permit Fee Paid $35.00 Issued By: 11— 0\ Date 11/12/2001 El 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 ES Division of Inspection Services 215 Church Avenue P.O. Box 1130 • S dL H Oshkosh, WI 54903 -1130 Fax (920) 236 -5084 ON THE WATER Phone (920) 236 -5046 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. DATE /1- f-i/ JOB ADDRESS // ea fili(r, escr C5/ OWNER ` / CONTRACTOR AN E CIRCLE ALL APPLICABLE USE CATEGORY INGLE FAMIL DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL SERVICE NEW CHANG TEMPORARY NOT APPLICABLE TYPE < VERHEAD -----) UNDERGROUND NOT APPLICABLE NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS AMPS /06 VOLTS / c/9 /4>? PHASE , c / CHECK ALL APPLICABLE RANGE WATER HEATER GARBAGE DISPOSAL DRYER DISHWASHER FAN OR BLOWER FURNACE A/C ELECTRIC SIGN MOTORS GAS PUMPS OTHER ) DESCRIPTION OF ALL WORK BEING DONE J271/ jrl� 7� / ,6 Q4>7�� 7 K1/2,9/234. (..:5 e zra Spi. • Submit payment with application. Failure to pay within 30 days will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. / r/ L? C )97/1") �/r) , _7 .9ar, r71 �-5 doe-4$ � } ©o UE VAL (Including labor an 11 materials including light fixtures) $ 75 0 MASTER ELECTRICIAN /j/'j7 6 J 72r? ]` y Electric Permit Work Card Job Address 1632 MINNESOTA ST Permit Number 91246 Create Date 11/12/2001 Owner RODNEY /DARLENE GRUNSKE Contractor VAN ERT ELECTRIC Category 634 - Residential- Service Change Service 0 New • Change 0 Temp 0 N/A Type • Overhead Q Underground 0 N/A Volts 120/240 Circuits Fixtures Amps 100 Switches Receptacles Fee $35.00 Value $750.00 Appliances Use /Nature SFR/ Move meter to outside and change service mast. *Job #F1234 CE of Work Inspections: �J� Date 11/15/01 Type Service Inspector Jonathan Fischer wv Vl u Approved 11/16/01 around 11 am 11/16/01 called in 11/19/01 mailed in