HomeMy WebLinkAbout0101585-Electric (service upgrade)OSHKOSH
ON THE WATER
.lob Address 821 W 11TH AVE
Contractor J.A.W.S. ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SHIRLEY E/JAY D PUESTOHL
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101585
Create Date 05/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/100amp OH service upgrade.
Work
Fees: Valuation
Issued By:
$650.00
Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 05/19/2003
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 PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
OSHKOSH
ON THE WATER
Job Address 821 W 11TH AVE
Contractor J.A.W.S. ELECTRIC
Service ~ New O Change
Volts 120/240
Am ps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
(~ Tamp
Owner
Category
Circuits
Switches
SHIRLEY E/JAY D PUESTOHL
634 - Residential-Service Change
Type ~ Overhead
0
0
No 101585
Create Date 05/19/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of ~FR/100amp OH service upgrade.
Work
Fees: Valuation
Issued By: ~ ~
$650.00 Plan Approval $0.00 Permit Fee Paid $30.00
[] Permit Voided
Date 05/19/2003
In the performance of~this work ~rm all work pursuant to rules governing the described construction.
Signature ~'~ ~"~.' JC~_..~~/''''''~' Date
/ ~/ -- Agent/Owner
Address PO BOX 22 VAN DYNE WI 54gTg - 22 Telephone Number
(920) 688-2477
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
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.
O_/HKO. fH
ON THF WATER
· 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 permit(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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through Four account []
JOB DR SS
OWNER '~' ~ ' ~/"~'7
CONTRACTOR ,._~, ,~. ~ .x..~ ~"/--~C_
CHECK [] ALL APPLICABLE
USE CATEGORY
J~[Single Family FlDuplex
F'lMulti-Family
SERVICE F1New
J_[Change
[]Temporary
[]Not Applicable
l-IRental FICommercial Fllndustrial
TYPE ~Overhead []Not Applicable
[]Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I ~ O / ~ c~ Receptacles # Circuits #
Phase /6/9
Amps / C)~> Switches # Fixtures #
CHECK [] ALL APPLICABLE
FIRange []Dishwasher []Garbage Disposal []Dryer
F1Fan OR Blower []Furnace []A/C []Electric Sign
F1Motors FIGas Pumps F1Other
F1Water Heater
DESCRIPTION OF ALL WORK BEING DONE
V~ (In¢luaing l~b~r
MASTER ELECTmCIAN
3/02