HomeMy WebLinkAbout0102365-Electric (service change)OSHKOSH
ON THE WATER
Job Address 2421 DOTY ST
Contractor J.A.W.S. ELECTRIC
Service ~__ New
Volts 120 / 240
Am ps 100
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GENE/MARY L FELX
Category 634- Residential-Service Change
No 102365
Change O Temp
Circuits
Switches
Create Date 06~23/2003
Plan
Type ~ _Ov.~.r_.h_e_~_~ ..................... _(~ Unde~rground
0 Fixtures
0 Receptacles
Appliances
Use/Nature of
Work
;FR/Service change.
Fees: Valuation
Issued By: ~
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 06/23~2003
In the performance of. this work I a__qr.~e to~erform all work pursuant to rules governing the described construction.
Signature ~N, 1 (~ ~'~,~-~ Date
Agent/Owner
Address PO BOX 22 VAN DYNE WI 54979 - 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/H
ON TH: YVATER
· 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. Commenmng 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 v. ou want this processed through your account []
57-.
DATE
CItECK [] ALL APPLICABLE
USE CATEGORY
~Single Family FIDuplex
ElMulti-Family
I-1Rental I-ICommercial nIndustrial
SERVICE F1New
~i~Change
FITemporary
EINot Applicable
TYPE ~Overhead
F1Underground
F1Not Applicable
FILL IN THF~ APPROPRIATE BLANK WITH THE NUMBER
Volts /~C~ / ~Z> Receptacles # Circuits #
Phase //,~
Amps /E~C~ f}, Switches # Fixtures #
CHECK [] ALL APPLICABLE
IZIRange [3Dishwasher r'lGarbage Disposal FIDryer
EIFan OR Blower FIFumace I=IA/C FIElectric Sign
r'lMotors FIGas Pumps DOther
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
V~ (Including labor and all materials including light fixtures)
3/02