HomeMy WebLinkAbout0102483-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 508 MERRITTAVE
Contractor LARK ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner EUGENE F BERGER
Category 634- Residential-Service Change
Amps 100
~) Temp
Type I~ Overhead
Circuits 1
Switches 0
No 102483
Create Date 06/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Change service and install 2 recps & 1 circuit.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval
$0.00 Permit Fee Paid
$45.00
Date 06/27/2003
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 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O_/HKOJ'H
x,, ,Y t~'~-'~,~ ON THE WAT ER
ELECTRICAL PERMIT APPLICAT
iii Jn£ormation after bold catesorics must be provid;~.'' ~'~ ~ C/V~D
Incomplete applications will not be processed.
JUN2 2
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to~ Inspe~qt~n Servic~es, ~ Box 1128,
· Oshkosh WI 54903-1128. Commencing work without permit(s) will' result l~~~¢d or $100 00 plus the
normal permit fee, which ever is greater. · ' ' '~'~U~¥I~(t~[ltT I~r. '
!£ you are a contractor participating in the Permit Fee Account System and have adequate fu?d~s~, Theck here
i£¥ou want this processed through your account []
JOB ADDRESS
OWNER ~-'~t~;
co CTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
,~Z~Single Family nDuplex UIMulti-Family
SERVICE FINew nTemporary
li2~hange UINot APplicable
nRental
TYPE
F1Commercial nlndustrial
~verhead I-INot Applicable
nUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts j 2. o / 2 5/g> Receptacles #
Phase f
Amps - /Oz> Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
E]Range nDishwasher E]Garbage Disposal
FlFan OR Blower nFumace OA/C
IDMotors nGas Pumps F1Other
I-]Dryer
rqElectric Sign
IDWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials ~nclu~g:!ight fixtures)$
3/02