HomeMy WebLinkAbout0102514-Electric (service change)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 102514
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
216 BALDWIN AVE
Owner
CHARLES C L HARDEL/JENNIFER L SA
Create Date 06/30/2003
Contractor
HOMEOWNER
Category 634 - Residential-Service Change
Plan
Service
10 New
11 0/220
0 Change
0 Temp
Type
10 Overhead
0 Underground
Volts
Circuits
0
0
Fixtures
0
0
Amps
100
Switches
Receptacles
Appliances
Use/Nature of 6/30/03 60 to 100 amp service change
Work
Fees: Valuation
$800.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 6/30/03
I I Permit Voided I
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
OSHKOSH
WI 5490- 3813
Telephone Number
-é
Electric Permit Work Card
Permit Number 102514 CreateDate 06/30/2003
Job Address 216 BALDWIN AVE
Owner CHARLES C L HARDELIJENNIFER L SA
Contractor HOMEOWNER
Category 634 - Residential-Service Change
Circuits
I Type. Overhead
0
0 Underground 0 N/A
Service b New
Volts 110/220
0 ChangeO Temp. N/A
Fixtures
0
0
-
Fee
0
Receptacles
Value
-
Amps
100
Switches 0
$35.00
$800.00
Appliances
Use/Nature
of Work
/30/0360 to 100 amp service change
Inspections:
Date 07/0212003
Type Service
Inspector Jon Fischer
not approved
6/30/03 look at service on wednesday 7/2103 8:45 am.
1) Panel clearance.
DaterTime requested: 06130/2003 12:36 PM
Access:
Notice Type:
Phone Number:
Ready DaterTime: 06/30/200312.36 PM Requested by:
0 Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
---------------------------------------------------------
- ----_uu-------------.
Date
Type Re Service
Inspector Jon Fischer
approved
REQUEST LINE.
talked to owner he said it was done 7/8/0312:56 am
7/8/03 called in
7/14/03 mailed in
\
DaterTime requested: 07/07/2003 09:35 AM
Access:
He'd like to be present.
Ready DateITime: 07/07/2003 10:12 AM Requested by:
0 Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Notice Type:
Phone Number: 651-1215
HOMEOWNER - Charles
-----------------------------------------------------------------------------------.
~
CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 2/fo gAl n W.r/u
CONTRACTOR: /6. O.
PROJECT TO BE INSPECTED:
TYPE OF INSPECTION: SI?/t...l/]:c..e-
~
City of Oshkosh
Insp<ction Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
Violations must be coITected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
and/or occupancy. Upon completing the coITections, the owner/contractor/agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
Mil ".ODE INSPECTIONRESTS
UIZ/:;
00
0 Not Approved! Insp. Report given to
7-2-°3
0 MailedlPaxed
Print Name
Company
Signature:
Date