HomeMy WebLinkAbout0105171-Electric (replace service)City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O../HKO_/H
ELECTRICAL PERMIT APPLICATION
All information al~er 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,
OshkoshWI 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
If you are a contractor participating( in the Permit Fee Account System and have adequate funds, check here
if you want this processed throuy~h your account []
DATE 11/06/2003
JOB ADDRESS2014 Algoma Blvd
OWNERAnthonv Knuppel
CONTRACTORMY Electric Corp.
CHECK [] ALL APPLICABLE
USE CATEGORY
['-]Single Family [--]Duplex
[--]Multi-Family
SERVICE [--]New [--]Temporary
[~Change ]--]Not Applicable
[--~Rental [~Commercial [~Industrial
TYPE [~Overhead [--]Not Applicable
[--IUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/240 Receptacles # Circuits #
Phase 1
Amps 100 Switches # Fixtures
CHECK [] ALL APPLICABLE
[--]Range [~Dishwasher [--]Garbage Disposal
[~Fan OR Blower f--]Furnace ]'-]A/C
[~]Motors [-]Gas Pumps [-~Other __
[--]Dryer ~--]Water Heater
[--]Electric Sign
DESCRIPTION OF ALL WORK BEING DONEReplaeement of the track damaged electrical service, 100 amp O.H.
to 100 amp parascopc O.H.
VALUE (Including labor and all materials including light fixtures) $2000.00
MASTER ELECTRICIAN