HomeMy WebLinkAbout0102554-Electric (service change & garage)OSHKOSH
ON THE WATER
.lob Address 1929 OLIVE ST
Contractor VAN ERT ELECTRIC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner STUART DALY
Category 634- Residential-Service Change
Amps 1 O0
~ Temp
Type I~ Overhead
Circuits 3
Switches 0
No 102554
Create Date 06/30/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Upgrade service. Run feeders to new garage.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 07/01/2003
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
City of Oshkosh
Division of Inspection Services
P.O. Box I 130
Oshkosl~ WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
All information after bold categories must be provided·
Incomplete applications will not be processed,
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus
normal permit fee, which ever is greater.
OR
ff ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check /
if you want this processed through your account []
OW R
CIEECK I~ ALL APPLICABLE
C E CATEGORY
ingle Family [2]Duplex mMulti-Family
SERVICE ~ew nTemporary
~hange mNot Applicable
nRental
TYPE
IZICommercial mlndustrial
uOverbead F1Not Applicable
nderground
FILL IN '!'H ~: APPROPRIATE BLANK WITH THE NUMBER
· [~) / '2g~O Receptacles #
Volts
Amps ] Switches ~
CHECK [] ALL APPLICABLE
Circuits #.
Fixtures #
F1Range F1Dishwasher UIGarbage Disposal
F1Fan OR Blower UlFumace F1A/C
FIMotors ElGas Pumps mOther
I ESC ON .Enm ti
F1Dryer
ElEleetric Sign
FIWaterHeater
VALUE (Including labor and all materials including light fixtures)
MASTERELECTRICIAN L;a...fi~: ~"2o ?2f