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HomeMy WebLinkAbout0101959-Electric (replace riser)OSHKOSH ON THE WATER .lob Address 2213ASHLAND ST Contractor HOEHNE ELECTRIC Service [~ New (~ Change Volts 120/240 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner RICHARD K KUEHN Category 634- Residential-Service Change Amps 100 ~) Temp Type I~ Overhead Circuits 0 Switches 0 No 101959 Create Date 06/05/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR / Replace the service riser from storm damage Work Fees: Valuation Issued By: $300.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 06/05/2003 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 813 E RIVER DR OMRO WI 54963 - 0 Telephone Number 920-685-0199 City of Oshkosh Division of Inspection Services P.O. Box 1 I30 Oshkosh, WI 54903-1130 Phone (920) 2365050 Fax (920) 236-5084 ELECTRICAL PERMIT APPLICATION All information after bold camgaeies must be provided. Incomplete applications will not bc processed. p.1 Application(s) and fee(s) can be brought to Ci!y Hall, Room 205 or nmiled to Inspection Services, PO Box 1128, Oshkosh WI '$4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus thc normal permit fee, which ever is greater. OR ]f vou are a contractor.particit~ating in the Permit Fee Accpunt $~.stem and have adequate funds, check.here you wa.hi this orocessed throu~th ~our account ['~ CHECK [] ALL APPLICABLE x~E CATEGORY ingle Family r'IDuplex I-IMulti-Family SERVICE C]New r3Tercq~omry VIChangc r'lNot Applicable DRental I"lCommercial I"llndustrial TYPE DOv~head DNot Applicable I-1Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Circuits # Phase Amps Switches # Fixtures # CHECK I~ ALL APPLICABLE ElRangc I-IDishwasher I"lC_rarbagc Disposal ClDryer t-IWater Heater ElFan OR Blower I-IFurnaee [-IA/C ClEleetric Sign C1Motors i"lGas Pumps E]Othcr__ _ , _ VALUE (Including labOr nnd all ~including light fixtures)