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HomeMy WebLinkAbout0087288-Electric (service change) (13 CITY OF OSHKOSH No 87288 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 306 WAUGOO AVE Owner JAMES B BARTELT Create Date 07/05/2001 Contractor DREXLER ELECTRIC Category 634 - Residential - Service Change Plan Service 0 New • Change 0 Temp Type • Overhead 0 Underground Volts 120/240 Circuits Fixtures Amps 200 Switches Receptacles Appliances Use /Nature of DUPLEX / SERVICE CHANGE FORM 60 AMP 2 METER TO 200 AMP 3 METER Work Fees: Valuation $1,300.00 Plan Approval $0.00 Permit Fee Paid $60.00 Issued By: S 67 Date 07/05/2001 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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number 589 -6700 - 213 -0230 (;i:;) Division of Inspection Services 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903 -1130 Fax (920) 236 -5084 ON N WA R Phone (920) 236 -5046 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. DATE 7- e 4/ JOB ADDRESS ✓ 0 C=' t 4 t o o OWNER '1i g /q-, ri LT CONTRACTOR D, e y*L? i( L - —i' Zi - CIRCLE ALL APPLICABLE USE CATEGORY SINGLE FAMI Y DUPLEX 'ULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL SERVICE 1,A0 TEMPORARY NOT APPLICABLE TYPE OVERHEAD UNDERGROUND NOT APPLICABLE NO. OF FIXTURES SWITCHES RECEPTACLES C RCUITS AMPS c ,/Q © VOLTS/) / c YQ 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 6 /l Iv e -7lt+Z - ru a 0 d) 14p9 3 "el'en • 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 labor and all materials including light fixtures) $ /3 o.0 ( MASTER ELECTRICIAN (9 ( 24-0 4