HomeMy WebLinkAbout0100784-Electric (service cable)OSHKOSH
ON THE WATER
Job Address 233 DALE AVE
Contractor TRUCK ELEC
Service ~ New
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner SHANE A/CHRISTI GORDON
Category 634- Residential-Service Change
Am ps 100
Change (~ Temp
Type _~_ Overhead
Circuits 0
Switches 0
No 100784
Create Date 04/14/2003
Plan
C) Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Repl. service entrance cable.
Work
Fees: Valuation
Issued By: ~
$500.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 04/14/2003
[] Permit Voidedj
In the performance of this work I agree tgq;~erform all work pursuant to rules governing the described construction.
Signature /~~_ ~/X~ Date
~90~W~3 :A ' Agent/Owner
Address R VE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON TNF \,VATEg
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed 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 the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
CHECK [] ALL APPLICABLE
USE
.,~CATEGORY
D~3~ngle Family
SERVICE F1New
l-lDuplex l-IMulti-Family
r"iTemporary
r-lNot Applicable
F1Rental
TYPE
[-1Commercial Fllndustrial
E~verhead F1Not Applicable
F1Underground
FILL IN Tl:l~ APPROPRIATE BLANK WITH THE NUMBER
Volts ]~'2~) I <Zq{O Receptacles # Circuits #
Phase'-/~f/t~iO
Amps . Switches # Fixtures #
CHECK [] ALL APPLICABLE
l-IRange F1Dishwasher F1Garbage Disposal IZIDryer F1Water Heater
F1Fan OR Blower F1Fumace F1A/C FIElectric Sign
I-IMotors F1Gas Pumps IZlOther
VALUE (Including labor and eluding light fixtures) $
3/02