HomeMy WebLinkAbout2003-Electric (service upgrade)OSHKOSH
ON THE WATER
.lob Address 814WRIGHT ST
Contractor M&M ELECTRIC
Service [~ New
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEFFREY J/SUE A WICINSKY
Category 634- Residential-Service Change
Amps 200
Change ~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102182
Create Date 06/13/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of RENTAL/Install new underground 200amp service.
Work
Fees: Valuation
Issued By:
$898.00 Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 06/13/2003
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
Oshkosh p.3
-Ha~,~3 03 09:28a
Cit~ of Oshkosh
D/vi6on oflnspectlon Services
P.O. Box 11]0
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
Inspection~ ~,~-~ /~.>~ 920-236-'5084
EPA
All info~on at~r bold cam~odes ~si bc pmvi&d.
Inco~ictc applicafi~ will not be proc~sed.
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
ff pou are a contractor,,particivating in the Permit Fee Account System and,bare adeouate funds, check here
i~¥ou want this process, ed through your account []
cO
CHECK ~ ALL APPLICABLE
USE CATEGORY
Elsingle Family nDupleX .... [3Multi-Family-' ~Rental ElCommcrcial I-1LMustrial
SERVICE [3Ne~ nTcmporary TYPE I~lOverhead FINot Applicable
~h~ge ' ViNot Appli~'iil~le "'~" ~'''' x-:~: :'-: ": ;~, ........ ljnderground
FILL IN TFIE APPROI>RIATE BLANK WlTIt THE
Volts !~0 l ,.e~O, RecePtacles# Circuits#
Phase
Amps ~,. t~0 .~... Switches # Fixtures #.
CHECK [] ALL APPLICABLE
FIRange [3Dishwasher
I-IFan OR Blower [3Furnace
F1Motors 12Gas Pumps
I)E$CR~TI[ON pF ALL WORK BIg.lNG DONE
F1Garbage Disposal nDryer
FIA/C V1Electric Sign
ElOther
[3Water Heater
VALI[J'E (InCluding. labor ~nii all ma;~i:i~i;:inchuting light fixtllres) $ ~
3/02