HomeMy WebLinkAbout0100685-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1212 CARR PL
Contractor VAN ERT ELECTRIC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LUCILLE CORNELL ETAL
Category 634- Residential-Service Change
Amps 1 O0
~ Temp
Type I~ Overhead
Circuits 4
Switches 4
No 100685
Create Date 04/04/2003
Plan
~ Underground
Fixtures
Receptacles
4
10
Appliances FURNACE
Use/Nature of SFR/SERVICE UPGRADE. ADD 120V RECP TO UPSTAIRS BEDROOMS. CHANGE 4 LIGHT FIXTURES.
Work
Fees: Valuation
Issued By:
$1,400.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 04/08/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
04/08/02 08:30 FAX 920 766 0883 VAN,~RT ELECTRIC ~001
City of Oshkosh
Division of ISSl~ction Services
P.O, B~ 1130
Os~sl~, WI ~490~-1130
Pho~ (920)
F~ (920) 236-5084
O/HK, O/H
O1'4 THE ~'ATER
ELECTRICAL PERMIT APPLICATION
All information aftcr bold categories must be provided.
[ncompl¢le applications will not be processed.
· Appli~-ation(s) and fcc(s) c~n bc brought to City Hall, Room 205 or msiled 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 ....
normal p~rmit fee, which ever is grcat~r.
OR
If vo.u ar~ a contractor p_qrticipating in the Pernrit ]t~ee ,4ccount System and hav. e adequate funds. ~h_eck t
C]~CK IPl ALL APPLICABLE
S~mCATEGORY
gle Family I-IDuplex IZlMulti-Family
SERVICE ClNcw C]Temporary
l~Changc ClNot Applicable
FILL IN Tl~ APPROPRIATE BLANK WITH THE NUMBER
Vails -, l ~ i ~ R~e.ptaeles # . [0
Amps tD7_)c~ Switches # ~F
I"lRental r-ICommereial I21lndustrial
TYl'E'~Ove~head ONot Applicable
! l~]Underground
Circuits
Fixtures
CHECK [] ALL APPLICABLE
ORange ElDishwmsher i'lGarbage Disposal U1Dryer
121Fan OR. Blower ~l~umace EIMC I-1Electric Sign
C]Motors I-IGa~ Pumps Cl0ther
ov AZL wov. x {X0a 0
DESCRHVI'ION
13Water Hcatcr
VALUE (Including labor and aU materials including light fixtures)