HomeMy WebLinkAbout0090041-Electric (service change) CITY OF OSHKOSH No 90041
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1153 W 7TH AVE Owner TROY L. SESSIONS Create Date 10/04/2001
Contractor SECKAR ELECTRIC Category 634 - Residential - Service Change Plan
Service 0 New • Change O Temp Type • Overhead ❑ Underground
Volts Circuits Fixtures
Amps 100 Switches Receptacles
Appliances
Use /Nature of DUPLEX/ Change service to 3 meter, 100AMP each position.
Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By:I Date 10/04/2001
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 5920 COURTNEY PLUMMER ROAD WINNECONNE WI 54986 - 0 Telephone Number (920) 582 -4909 M 379 -681'
e) Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, 0) 54903 -1130
Fax (920) 236 -5084
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
/ DATE OCT* Z, ?.ro O
JOB ADDRESS 1/ 53 W • 741 A- VE
OWNER ggiti> se ss (DO &
COMUCTOR.. S.gteiCAE . eteeThe (C
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CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY • PLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW TEMPORARY NOT APPLICABLE
TYPE OVERHE.s UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE (>1,0001.44 sf r'JTc 1$ 3 melw,gs
toofrfriP cftcH Pos,
• 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.
VALUE (Including lab and all materials including light fixtures) $ /500.00
MASTER ELECTRICIAN T � SEGi(-4