HomeMy WebLinkAbout0089393-Electric (service change) CITY OF OSHKOSH No89393
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1806 SIMPSON ST Owner CHAD M SCHAEFER Create Date 09/13/2001
Contractor LARK ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New • Change O Temp Type O Overhead 0 Underground
Volts 110/220 Circuits Fixtures
Amps 100 Switches Receptacles
Appliances
Use /Nature of 9/13/01 service change 60 -100
Work
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: .KnA Date 09/19/2001
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 54902 - 3347 Telephone Number (920) 231 -8625
APPLICATION FOR ELECTRICAL PERMIT
Lark Electric - / 3 seer o i
927 N. Lark St. Date
, Otkosh, WI 54901
I /We Electrical Con-
tractor, herewith make application for a permit to
install the following electrical wires & apparatus
in the premises of eHf D HOrpE/s
No. / go 6) Street SAM Pso's(
New Service Furnace
Change Service Electric Sign
Temp. Service Motors
Range Air Conditioner
Water Heater Gas Pumps
Garbage Disposal Fixtures
Dishwashers Switches
Dryer Receptacles
Fan or Blower Circuits
Date Issued Maste 1 -ctrl. an
Estimated Cost n
4 )%
Electric Permit Work Card
Job Address 1806 SIMPSON ST Permit Number 0 Create Date 09/13/2001
Owner CHAD M SCHAEFER Contractor LARK ELECTRIC
Category 634 - Residential - Service Change
Service p New • Change0 Temp 0 N/A Type 0 Overhead 0 Underground • N/A
Volts 110/220 Circuits Fixtures
Amps 100 Switches Receptacles
Fee $0.00 Value $0.00
Appliances
Use /Nature 9/13/01 service change 60 -100
of Work
Inspections:
Date 9/13/01 Type Service Inspector Jonathan Fischer J Approved
9/13/01 ron called for inspection on 9/14/01 @ 12:00
Date 9/17/01 Type Service Inspector Jonathan Fischer 1 ✓ Approved
9/14/01 called in
9/17/041 mailed in