HomeMy WebLinkAbout0092580-Electric (service change) Ci) CITY OF OSHKOSH No92580
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 502 WAUGOO AVE Owner CHUE CHANG /NAY LOR Create Date 02/08/2002
Contractor ENCORE ELECTRIC, INC. Category 634 - Residential - Service Change Plan
Service p New • Change O Temp Type 0 Overhead 0 Underground f
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Appliances
Use /Nature of SFR/ Replacing old service mast & panel, moving meter to outside.
Work
Fees: Valuation $775.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: KW> Date 02/08/2002
❑ 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 3739 COUNTY ROAD FF OMRO WI 54963 - 0 Telephone Number (920) 685 -6699
(;-1-:5) Division of Inspection Services
215 Church Avenue
P.O. Sox 1130
Li Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
ON THE WATER
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DA TE 02
JOB ADDRESS 5OO 1.04 Q Ave •
OWNER Ch u ! L O
CONTRACTOR 4..7111 Riff 1 L 6-C T V I C '22 C-.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS / DO VOLTS J / P-4° PHASE C
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 J�e Otd ,
/'Yl11Vtw4 Yh& 4 - b cic je-1- .
• 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.
D0
VALUE (Including labor and all materials including light fixtures) $ ? ,
MASTER ELECTRICIAN ,811L
Electric Permit Work Card
Job 4ddress 502 WAUGOO AVE Permit Number 92580 Create Date 02/08/2002
Owner CHUE CHANG /NAY LOR Contractor ENCORE ELECTRIC, INC.
Category 634 - Residential -Service Change
Service Q New • Change Q Temp Q N/A Type • Overhead 0 Underground 0 N/A
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Fee $35.00 Value $775.00
Appliances
Use /Nature SFR/ Replacing old service mast & panel, moving meter to outside.
of Work
Inspections:
Date 2/14/02 Type Service Inspector Jonathan Fischer LI Approved
2/14/02 late moming inspection
Date 2/14/02 Type Service Inspector Jonathan FischerAr V Approved
2/14/02 called in
2/18/02 mailed in