HomeMy WebLinkAbout0101366 EOSHKOSH
ON THE WATER
.lob Address 1930 OREGON ST
Contractor TOWN & COUNTRY ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOHN W/SHEILA R BONESKE
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101366
Create Date 05/08/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/100amp service change. *Job # 37252.
Work
Fees: Valuation
Issued By:
$700.00 Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 05/08/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
05/08/2003 THU 10:32 FAX 920 738 8987 SERVICE ~001/001
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI $490~-1130
Phone (920) 236-§050 ~
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories rra~ be provided.
Incomplete applications will not be processed,
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection So-vices, PO l~ox i 128,
Oshkosh WI 54903-I 128. Commencing work withou~ perm,(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participa, tl.n~.in the Permit Fee Ac_count System and have_ adcquate.funds._check here
if-~¥ov wan_t_t_his proccs$-ed through your account. []
CHECK [] ALL APPLICABLE
ECATEGORY
ingle Fzmily r'lDuplex DMulti-Family
SERVICE [21N~ ~lTemporavj
~-"hange [~qot Applicable
IZIRental FlCornmgrcial EllndusUial
TYPE [~)verh~d ClNot Applicable
[3Underground
FnJ, IN ~ APPROI'RIATE BLANK WITH TRE NUMBER
Volts · 1~ / ~2 qO Receptacles ~____ Circuits ~
Amps J OD Switches #,, Fixtures #
CIIECK [] ALL APPLICABLE
~lRange ClDishwasher EIOarbagc Disposal GDrycr
r3Fan OR Blower [3Furnace rlA/C ElElec~c Sign
C3Motors VIGas Pumps CIOth~r
DESCRIPTION OF ALL WORK BEING DONE /~0 ~A~F .%~'e'V/~'g ~,t~
ClWat~r Itcater
VALUE (lncludinz labor and all materials including light fixtures) $ '700. O0
3/02