HomeMy WebLinkAbout0093940-Electric (service change) l CITY OF OSHKOSH No93940
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1936 MINNESOTA ST Owner KATHERINE FENRICH Create Date 04/29/2002
Contractor SLIM'S ELECTRIC, INC. 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 100 Switches 0 Receptacles 0
Appliances Furnace & a /c.
Use /Nature of SFR/ Service change & wire fumace & a /c.
Work
Fees: Valuation $1,550.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: Date 04/30/2002
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
Division of Inspection Services
e;) 215 Chu rch Avenue
P.O: Box 1130
WAWA Pax x (920) 236 - 508430 `
Phone (920) 236 -4046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DASS 04/29/02
JOB ADDRESS 1936 Minasota St.
opt Kathy Fenrick
CONTRACTOR Slim Electric Inc.
CIRCLE ALL APPLICABLE
USE CATEGORY EizEmea DUPLEX MULTI - FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERRGROUNI NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
mos 1 00 VOLTS 120 , 240 PRASE 1
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER •
DISHWASHER FAN OR BLOWER FURNACE X A/C X
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or 0100.00 plus the normal permit fee, which ever is
greater.
VALUE (z:cluding 1 • •r and 11 , 1 . i.. fixtures) $ 1550.00
ELsCTRICIAN £ / . . i ��/
,.. /Fr