HomeMy WebLinkAbout0100825 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
302 W LINCOLN AVE
VAN ERT ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner TRI STAR INVESTMENTS INC
Category 634- Residential-Service Change
Type I~ Overhead
Circuits 0
Switches 0
No 100825
Create Date 04/15/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Lower the attachment point of main service for new siding.* VE Job #F1563-AA
Work
Fees: Valuation
Issued By:
$250.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/15/2003
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
04/15/02 11:18 FAX 920 765 '0883 VAN ERT ELECTRIC ~]001
City o f Oshkosh
Division of Inspection Services
P.O, ]Box ! 130
Oshkosh, WI
Phone (920) 2t6-5050
~Fax (920) 236.5084
OJ KO/. H
ELECTRICAL PERMIT APPLICATION
At[ i-lrormation after bold categories must be p[ovided.
Incomplete applications Will not be processed.
· Application(s) and fee(s) can be brought lo City Hall, Ibxnn 205 or mailed to Lnspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees bemg doubled or $100.00 plus
normal pmmit fee, which ever is greater.
OR
[f ¥ou are a con,tractor, participating in the Per 'rm~ee Account System and have adequate funds, check I.
OAT . . OS
CH~CK I~ ALL APPLICABLE
USE CATEGORY
C1Single Family I-IDuplex E]Multi-Family
SERVICE I-INew ElTemporary
r'lChange [3Not Applicable
EJRcntal
TYPE
ClCommercial r'llndusu-ial
I-lOverhead CINot Applicable
ITIUnderground
FILL IN THE APPROPRIATE BLANK WITH ~ NUMBER
Volts - i Receptacles #
Phase
Amps Switches ~
Circuits #
Fixtures #
CrFECK {~ ALL APPLICABLE
CIRange ClDishwasher I-lGarbage Disposal
ClFan OK Blower IqFumace r'IA/C
FIMotors [~Gas Pumps r'lOther
[3Dryer nwater Heater
OElcctric Si~n
VALUE (Including labor an~l all materials including tight fixtures)