HomeMy WebLinkAbout0100833 EOSHKOSH
ON THE WATER
.lob Address 1816 MITCHELL ST
Contractor J.A.W.S. ELECTRIC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BETH E OLSON
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100833
Create Date 04/15/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/100 amp overhead service upgrade.
Work
Fees: Valuation
Issued By:
$650.00
Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 04/16/2003
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 PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
OSHKOSH
ON THE WATER
Job Address 1816 MITCHELL ST
Contractor J.A.W.S. ELECTRIC
Service ~) New ~I Change
Volts 120 / 240
Am ps 100
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
C) Temp
Owner
Category
Circuits
Switches
BETH E OLSON
634 - Residential-Service Change
Type ~ Overhead
0
0
No 100833
Create Date 04/15/2003
Plan
~_ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/IO0 amp overhead service upgrade.
Work
Fees: Valuation
Issued By: ~
$650.00 Plan Approval $0.00 Permit Fee Paid $30.00
Date 04/16~2003
[] Permit Voidedj
In the performance, of this wor. lCc'2~ee to perform all work pursuant to rules governing the described construction.
Signature ~X\~ ~(~, ''¢..~-r~3'/~ Date
AgentJOwner
Address PI::y'BOx 22 VAN DyNE WI 54979 - 22 Telephone Number
(920) 688-2477
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OJ'HKOJ'H
ON TNF 'WATER
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 Four account []
JOB ADDRESS
OW R
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
]~Single Family
SERVICE [3New
]~lChange
F'lDuplex VlMulti-Family
I-ITemporary
[3Not Applicable
I-1Rental
TYPE
F1Commercial Vllndustrial
~[Overhead F1Not Applicable
[3Underground
FILL IN TltE APPROPRIATE BLANK WITH THE NUMBER
Volts ) 2o / 2 ~C) Receptacles #
Phase /(2>
Amps /OC~ Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[3Range [3Dishwasher ~lGarbage Disposal
[3Fan OR Blower [3Furnace F1A/C
[] Motors [] Gas Pumps [] Other
I"lDryer
[3Electric Sign
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
3/02