HomeMy WebLinkAbout0095650-Electric (service change) 0 CITY OF OSHKOSH No95650
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1126 POWERS ST Owner OWEN /KIMBERLY A JONES Create Date 07/05/2002
Contractor ARROW ELECTRIC OF OSHKOSH Category 634 - Residential - Service Change Plan
Service 0 New • Change 0 Temp Type 0 Overhead 0 Underground
Volts 120 / 240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Appliances
Use /Nature of SFR/Panel change to 200A
Work
Fees: Valuation $495.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: ,,�,/ Date 07/05/2002
v El Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address P 0 BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 Telephone Number (920) 426 -4252
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084 OJHKOJH
ON THE WATER
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 ❑
DATE
JOB ADDRESS / /d(o 1 � cv £.es �S`r
OWNER
CONTRACTOR ..4%44., gat re C
CHECK B ALL APPLICABLE
USX- CATEGORY
Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial
SERVICE, ❑New ❑Temporary TYPE ..131‹head ❑Not Applicable
2C1"ange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts .l.9O / 0 Receptacles # Circuits #
Phase
Amps 300 Switches # Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE P4A/i. C H14 EI aoo A
VALUE (Including labor and all materials including light fixtures) $ y�l J
MASTER ELECTRICIAN j,l2 „.us._
3/02
Electric Permit Work Card
Job Address 1126 POWERS ST Permit Number 95650 Create Date 07/05/2002
Owner OWEN/KIMBERLY A JONES Contractor ARROW ELECTRIC OF OSHKOSH
Category 634 - Residential -Service Change
Service 0 New • Change 0 Temp 0 N/A Type • Overhead 0 Underground 0 N/A
Volts 120 / 240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $20.00 ❑ Value $495.00
Appliances
Use /Nature SFR/Panel change to 200A
of Work
Inspections:
Date Type Service Inspector Jon Fischer _approved
Faxed Request
7/16/02 approved
7/16/02 called in
7/22/02 mailed in
Date/Time requested: 07/15/2002 07:39 AM Notice Type: Phone Number: 426 -4252
Access:
building will be open
Ready Datemme: 07/16/2002 02:00 PM Requested by: ARROW ELECTRIC OF OSHKOSH -Jim
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid