HomeMy WebLinkAbout0100910-Electric (service change)OSHKOSH
ON THE WATER
Job Address 1236ALGOMA BLVD
Contractor HOMEOWNER
Service ~) New
Volts 110/220
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DANIEL R DAVISIB D NEISEN
Category 634- Residential-Service Change
O Change C) Temp J Type O Overhead
Circuits 0
Switches 0
No 100910
Create Date 04~22~2003
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of ~/22/03 service change to 200 amp ug
Work
Fees: Valuation
Issued By:
$700.00
Plan Approval
$0.00 Permit Fee Paid $30.00
Date 4~22~03
Permit Voided j
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work I agree to perform alt w..~.l~cpursuant to rules governing the described construction.
Signature ~ ~ _. ~
Agent/Owner
Address OSHKOSH WI 5490- 2702 Telephone Number