HomeMy WebLinkAbout0100937-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1014 EASTMAN ST
Contractor VAN ERT ELECTRIC
Service [~ New 0 Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ELEANOR A TYRIVER
Category 612- Residential-Single Family Addition/Ret
Amps 1 O0
~ Temp
Type I~ Overhead
Circuits 6
Switches 7
No 100937
Create Date 04/23/2003
Plan
~ Underground
Fixtures
Receptacles
7
10
Appliances Fan or Blower, Furnace
Use/Nature of SFR/Service change, rewire kitchen, rewire bathroom.
Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval
$0.00 Permit Fee Paid
$75.00
Date 04/23/2003
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
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
SERVICE NEW ~ TEMPORARY
TYPE UNDERGROUND NOT APPLICABLE
No. OF FIXTURES SWITCHES ? RECePTACLeS /O CIRCUITS
VOLTS /~O / ~/P/~ PHASE
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
NOT APPLICABLE
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 ~/_~-~. y/~_~Z~''' C~.~/~////~, ./f~//4~
Submit payment with application. Failure to pay within 30 days will resul~ in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
and al_~aterials including light fixtures)
VALUE (InclUding labor
MASTER ELECTRICIAN