HomeMy WebLinkAbout0102388-Electric (service change)OSHKOSH
ON THE WATER
,Job Address 1116 JEFFERSON ST
Contractor TRUCK ELEC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DONALD G WEGNER
Category 634- Residential-Service Change
Amps 100
(~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102388
Create Date 06/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Cahnge 60amp to 100amp OH service.
Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 06/24/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
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 THF \~/ATER
· 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 ;,ou want thts processed through your account []
JOB ADDRESS
CONTRACTOR
DATE (-..~/~'~'~/~ ~
CI:rECK [] ALL APPLICABLE
inCATEGORY
gle Family F1Duplex IDMulti-Family
SERVICE FINew V1Temporary
E3c~ange F1Not Applicable
F1Rental
TYPE
F'lCommercial Fllndustrial
ElO'~erhead F1Not Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ,/qZ) / ~/_t46 Receptacles # Circuits #
Phase
Amps , Switches # Fixtures #
CHECK [] ALL APPLICABLE ,.
EJRange VIDishwasher V1Garbage Disposal
12]Fan OR Blower F'lFumace E]A/C
I-lMotors F'lGas Pumps I-lOther
DESCRIPTION OF ALL WORK BEING DONE ~6/~ff~g9
V1Dryer FlWater Heater
r'iElectric Sign
VALUE (Including labor and a?tr~ including~xtures) $
MASTER ELECTRICIAN
3/02