HomeMy WebLinkAbout0100519-Electric (service change)OSHKOSH
ON THE WATER
Job Address 1511 CEDAR ST
Contractor TRUCK ELEC
Service [~ New
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HENRYW EICHINGER
Category 634- Residential-Service Change
Amps 100
Change (~) Temp
Type I~ Overhead
Circuits 3
Switches 0
No 100519
Create Date 03/31/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service change. Add washer-dryer circuit. GFI bathroom.
Work
Fees: Valuation
Issued By:
$1,400.00 Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 03/31/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
City 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 TN[:: \'VATER
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 m 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
(f you want this processed through your account []
CHECK [] ALL APPLICABLE
ing A
TEGORY
le Family
SERVICE ~hange
[:]Duplex F1Multi-Family
F1Temporary
ElNot Applicable
F1Rental
TYPE
VICommercial r'llndustrial
[3Overhead [3Not Applicable
[~RYfi'~'erground
FILL IN THE APPROPRIATE BLANK WITH THE~ NUMBER
Volts /~9 / ~.~) Receptacles # ~' Circuits
Phase / (d~(
Amps / 'CfO Switches # Fixtures
CHECK [] ALL APPLICABLE
FIRange ElDishwasher [3Garbage Disposal [3Dryer
[3Fan OR Blower [3Furnace [3A/C F1Electric Sign
FIMotors F1Gas Pumps []Other
DESCRIPTION OF ALL WORK BEINGDONE ~C.~'
//
FALIO-E (Including labor a~ ~/~.att~als including lig~s) $
MASTER ELECTRICIAI)~ [/J/i~qt~
F1Water Heater
3/02