HomeMy WebLinkAbout2003-Electric (service changes)OSHKOSH
ON THE WATER
.lob Address 752 WOODLAND AVE
Contractor VAN ERT ELECTRIC
Service [~ New O Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FIVE STAR PROPERTIES LLC
Category 634- Residential-Service Change
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102487
Create Date 06/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Replace 3 fixtures and upgrade service. *Job #F1563-AZ.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid
$40.00
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
14:03 FAX 920 768 0883 VAN ERT ELECTRIC ~001/001
00~02
City of Osh.kosh
Division n£Inspecfion Services
P.O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
F~ (920) 2:t6~5084
ELECTRICAL PERMIT APPLICATION
All iaformarion after bold categories must b~ provided.
Incomplete applications will not be processed.
· Applic. alion(s) aild fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128,
Oshkosh WI 54903-1128. Commencing work without p~-ani~(s) will result in fees being doubled or $ I
normal p~nrdt fee, which ever is greater.
OR
[f_~ou are a contractor parttcioating in the Permit l~e_e_,4~.~ount SYstem and have adeouate £unds. check
if you want thisJ~rocessed throut!.h your accqunt ~
OWNER
CONTRACTOR~
CH~CK [] ALL APPLICABLE
CATEGORY
nglo Family ~Duplex UIMulti_Family
SERVICE,~_New [3Temporary
/~il,Change [2Not Applicable
FILL ]lq 'l'flE API'ROPRIATE BLANK WITH THE NUMBER
Volts - [~] I ~(] Receptacles #
Amps
E]RentaI . 5]Cornmercial I-IIndustrial
TYI~E ~vcrh~ad CINot Applicable
DUnderground
Circuits
Fixtures
CltgCK [] ALL APPLICABLE
F1R~nge QDishwasher [2Crarbage Disposal V1Dryer [-lWater Heater
ElFan OR Blower VIFumace I~A/C E]Electric S/gn
r'lMotors ClGas Pumps I-IOth~r ~
VALUE(lneladlnglaborst~dnllmterlnlsiadudinglightfixtures)$ 40(~t'~'
iVIASTER E~'rRICIA~