HomeMy WebLinkAbout2003-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 927 WASHINGTON AVE
Contractor SCHAFER ELECTRIC INC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JESSE D/TORI S LAIN
Category 634- Residential-Service Change
Amps 100
(~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102484
Create Date 06/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Change existing 2ea 100amp OH meters to lea single 200amp OH meter and replace riser.
Work
Fees: Valuation
Issued By:
$450.00 Plan Approval $0.00 Permit Fee Paid
$20.00
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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
(920) 725-2031 M 585-31
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
JUN 2 x': OJ'HKOJ'H
ON THF WATER
ELECTRICAL PERMIT APPI 9 ,.I
All information after bold categories,~t~~, ~T OF
Incomplete applications will n0t;b~~-X ~},~F~L0~P~tT
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
!£vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
i£ vou want this processed through your account []
· JOB ADDRESS
CIIECK [] ALL APPLICABLE
DATE
~ATEGORY
,IEISingle Family [2]Duplex V1Multi-Family
SERVICE IDNew VITemPorary
~Change F1Not Applicable
[]Rental []Commercial []Industrial
TYPE
,~verhead F1Not Applicable
VIUnderground
FILL IN TFrE APPROPRIATE BLANK WITH THE NUMBER
Volts /,2.o. / .,~V'O Receptacles # Circuits #
Phase /
Amps- ~ --- t er-O. ~gd~a_~ Switches # Fixtures #
CHECK [] ALL APPLICABLE
VIRange F1Dishwasher [2]Garbage Disposal F1Dryer
VIFan OR Blower V1Furnace V1A/C F1Electric Sign
[]Motors V1Gas Pumps V1Other
DESCRIPTION OF ALL WORK BEING DON~E
VlWater Heater
VALUE (Including labor and all materials including light fixtures) $
3/02