HomeMy WebLinkAbout0101295-Electric (service change)OSHKOSH
ON THE WATER
,Job Address 2122 N MAIN ST
Contractor STEFFENS ELECTRIC INC
Service [~ New O Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LYNN E PAYNE
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101295
Create Date 05/06/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of 60 to 100 amp service, 120/240 volts single phase
Work
Fees: Valuation
Issued By:
$640.00 Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 05/06/2003
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 4902 N LYNNDALE DR APPLETON WI 54913 - 9664 Telephone Number
920-739-6569
R~r 18~00 07:34a Code En~orcemen.t
920-236-5084 p.
RE. CEIVED
APR 2 9 2005
o~EP_ARTMENT OF
DEVELOPMENT
0 Underground .......
Neon #
Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Valuation
Issued By:
Plan Approval
Permit Fee Paid
[] Permit Voided
Date
Address ~9_~"- ~c ~_,~ ,-~ Teleph°neNumberf'~ZO-/O~
OSHKOSH
ON THE WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54902-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
~ ~ (Electrical Contractor Name)
(Address)' (City) ~/Y - ! (~tate) (Zip Code)
have been contracted to perform electric installation work for ~ ~
,'i/0~tne ofi~art~ coq~cted to)
at the following address: o9.~, ~L ~ /~,, ~ak. ~, ~~/[_~.
(Address where work will be performed)
The nature of the work consists of' (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Recormection or new circuit for other permanently wired appliances / fixtures.
The value of this work is $ ~;~ /--~ff), t~) ·
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature o/~ Compan~f(Yfficer)
(Print Name of Officer)
(Date)