HomeMy WebLinkAbout2003-Electric (service change)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 101612
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
437 W 4TH AVE
Owner
MICHAEL J/KATHL GELHAR
Create Date 05/19/2003
Contractor
SLIM'S ELECTRIC, INC.
Category 634 - Residential-Service Change
Plan
Service
10 New
120/240
. Change
0 Temp
Volts
Circuits
Type
0
10 Overhead
0 Underground
Fixtures
0
Amps
100
Switches
0
Receptacles
0
Appliances
Use/Nature of SFR/ Service change.
Work
Fees: Valuation
$875.00
Plan Approval
$0.00
Permit Fee Paid
$40.00
Issued By:
Date 05/19/2003
U Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
2608 OAKWOOD CIR
OSHKOSH
WI 54904 - 8466
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Telephone Number
(920) 426-5249
...
City of Oshkosh
Division of Inspection Se1vices
P,O, Box 1130 '
~osh. WI 54903-1130
Phunc (920) 236-5050
Fax (920) 236-5084
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ELECTRI~~~Ø
AU information aftir ~1d categories must be provided.
Incomplete applications wiU not be processed.
(f)
a¡wB
. Application( s) and fee( s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128, Commencing work without permít(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
~f vou are a c~nt1.:;t:r :~r:~C~":i1l~ in the permif:Çee Account System and haY." adequat~ funds. check here
!(you want thJS Drocessed throu,h your acçount
DATE
JOB ADDRESS 437 W. 4th Ave
OWNER Mike Gelhar
CONTRACTOR Slim's Electric Inc.
CHECK iii ALL APPLICABLE
USE CA1'.I£GORY
Q(single Family ODuplex
OMulti-Family
05/17/03
SERVlCF. DNew
þ(Change
r::JTemporary
ONot Applicable
ORental OCommercial OIndustrial
TYPE äoverhead ONot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
v.Its 120 ~ 240
Phas~ -==;::ò .
Amps .
Cireuits #
Reeeptacles #
Switches #
Fb:t11res #
CHECK S ALL APPLICABLE
ORange
t:JFan OR Blower
OMotors
ODishwasher
OFumace
DGas PumpS
DGarbage Disposal
DAIC
DOther
~
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING nONF.
MASTER ELECTRICIAN
V AL1JE (Ineluding labor and an
..- --. --..,-.... ..". ,. ~... '."" .
3/02
.. ......".'. ...,
Job Address 437 W 4TH AVE
Electric Permit Work Card
Permit Number 101612
Create Date 0511912003
Owner MICHAEL JIKA THL GELHAR
Contractor SLIM'S ELECTRIC. INC.
Category 634 - Residential-Service Change
Service b2: New. ChangeO Temp 0 NIA I Type. Overhead
Volts 1201240 Circuits 0
-----
0 .. Underground. O-~A__-.J
Fixtures
0
Amps
100
Switches
0
Receptacles
Fee
~D
Value
$875.00
Appliances
Use/Nature
of Work
FRI Service change,
Date
Type Service
Inspector Jon Fischer
approved
Inspections:
REQUEST LINE. "'Call Slim'"
5/22103 called in
5/27103 mailed in
DatelTime requested: OS/22/2003 08:12 AM
Access:
Notice Type:
Phone Number: 410-1205
Ready DatelTime: OS/22/2003 01 :30 PM Requested by:
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0 Reinspect Fee 0 Fee Wavled 0 Reinspect Fee Paid
SLIM'S ELECTRIC, INC. - Slim
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