HomeMy WebLinkAbout0101764-Electric (upgrade)OSHKOSH
ON THE WATER
,Job Address 2432 HICKORY LN
Contractor M&M ELECTRIC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CORRINE J BUEHRING
Category 612 - Residential-Single Family Addition/Ret
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101764
Create Date 05/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/upgrade to a 200 amp service
Work
Fees: Valuation
Issued By:
$1,150.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 05/28/2003
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 175 MC KINLEYAVE Omro WI 54963 - 0 Telephone Number
920-685-3071
~a~ 23 03 08:28a Oshkosh Inspections 920-236-5084
City of Oshkosh
Division oflmpection Services
P.O. Box lt30
Oshkosh, Wl 54903-1 t30
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must 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 Services, PO Box 1128,
Oshkosh WI 54903-1128, Commencing work without permit(s) will result in fees being doubled or 5;100.00 plus the
normal permit fee, which ever is greater.
OR
ld~¥ou are a_.c~ontra_ctor_~a~ in the~_Per_ re. it Fee ,4ccount.Svstem and_h_ave ade_tTuate funds..~_check here
~_f__jdou .~'an_.__t th. is. t~roce~'&e~h your accotttt_~t []
OWNER
CHECK i~l ALL APPLICABLE
USE CATEGORY
Singlc Family V3Duplex Z1Multi-Family
SERVICE IZlNcw E3Tcmporary
Jg~Change UINot Applicable
[3Rental UlCommercial Vllndustrial
TYPE ~Overhead [:lNol Applicable
/ 12Underground
FILL IN THE APPROPRIATE. BLANK ~VITH TI:lIE N_UMBER
Volts /~0 / Z~/t~ Receptacles # Circuits
Phase i __
Amps ~O0 ~ Switches # Fixtures
CHECK lEI ALL APPLICABLE
[3Range I-1Dishwasher FlGarbage Disposal ElDryer [3Water Heater
EIFan OR Blower FlFumace [3ADC 1ZIElectric Sign
[3Motors IZIGas Pumps ~Other _
DESCRIPTION OF ALL WORK BEING DONE ,, .~.P~~r~/c''l''t' .-]-o. q 7'~/?-) ~
3/02