HomeMy WebLinkAbout0091111-Electric (service upgrade) 4
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� � CITY OF OSHKOSH No 91111 �
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD �
ON THE WATER �
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Job Address 562 MONROE ST Owner KARIN J GEHRKE Create Date 11/02/2001 f
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Contractor QUALITY ELEC. Category 612-Residential-Single Family Addition/R Plan �
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Service New 0 Change � Temp Type � Overhead � Underground
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Volts 120/240 Circuits 1 Fixtures 4 �
Amps _ 100 Switches 4 Receptacles 6 �
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Appliances �
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Use/Nature of Update electrical service for City Rehab. Code violation repairs. i
Work i =
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Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $75.00 �
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Y� � Date 11/05/2001 �
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� Permit Voided� '
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In the performancg,Qf�is work I gr to rm all wo suant to rules governing the described construction. �
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Signature Date l� �— U �
Agent/Owner �
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Address 3 54 GLENHURST LN OSHKOSH WI 54904 -8524 Telephone Number (920)233-8931 �
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Division of Inspection Services
� 215 Church Avenue
P.O. Box 1130
iSdJ�L! Oshkosh, WI 54903-1130
Fax (920) 236-5084
ON THE WATER '
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DAT$���' � ��
JOB ADDR$SS J �P� f�J2p�V i2C��
OWNSR �a ✓� �r� �r E C' �f'_
CONTRACTOR VC LCR.{i '�( `� �� C t--+('�� L
CIRCL}3 ALL APPLICABLE
USB CATF3GORY INGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEA�]> UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES_� SWITCHES ( RECEPTACLES C... CIRCUITS ✓
AMPS �(�U VOLTS f�U / Z�O pHASS ��
CH$CK ALL APPLICABL$
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DBSCRIPTION OF ALL WORK BBING DONE (�p��e ��c c���t�Z- �U�C�„
C��-t 'K2�A-�D CU�iz UZo��I.�-►v�.! ��pc.� d,S
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100 .00 plus the normal permit fee, which ever is
greater.
VALUB (Including labor and all terials including light fixturas) $�fJ�O.G D
MASTSR SLSCTRICIAN ✓
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Electric Permit Work Card =
Job Addressr 562 MONROE ST PeRnit Number 91111 Create Date 11/02/2001 �
Owne� KARIN J GEHRKE Contractor QUALITY ELEC. �
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Category 612-Residential-Single Family Addition/R
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Service p New � Change� Temp � N/A Type Q Overhead Q Underground � N/A �
Volts 120/240 Circuits 1 Fixtures 4
Amps 100 Switches 4 Receptacles 6
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Fee $75.00 � Value $3,000.00 :
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Appliances
Use/Nature jUp ate electrical service for City Rehab. Code violation repairs. ;
of Work
Inspections:
Date 11/14/01 Type Service Inspector Jonathan Fischer ���� ✓ Approved
11/14/01 fred called for inspection
11/15/01 service only
11/15/01 called in
11/19/01 mailed in
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