HomeMy WebLinkAbout0102649-Electric (service upgrade)OSHKOSH
ON THE WATER
.lob Address 131 W 21 ST AVE
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES G DAVIS
Category 634- Residential-Service Change
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102649
Create Date 07/07/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service upgrade.
Work
Fees: Valuation
Issued By:
$1,000.00
Plan Approval
$0.00 Permit Fee Paid
$45.00
Date 07/07/2003
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 P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 Telephone Number
(920) 426-4252
Ciiy ol- Oshkosh
Division or InSlX.¢don Services,
P.O, Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-50114
O_/'HKO/H
ELECTRICAL PERMIT APPLICATION
All information after bold categories must bc provided.
Incomplete applications will not be processed.
Application(s) and fee(a) 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 foes being doubled or $100.00 pies the
normal permit fee, which ever is greater.
OR
l(voa are a c~ntractor part$cipatinl~, in the Permit Fee Mccount System and have adeauat~ funds, check here
want this processed through your account 1~
if you
Jos~Dm~ss [31 ,,,13 Z[ AO~
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family nDuplex nMulti-Family
SERVICE r-INew ~Temporary
t~,~hange FINot Applicable
E1Rental DCommercial [Dlndustrlal
TYPE ~Overhead [3Not Applicable
r'lUnderground
FILL IN THE APPROPRIATE BLANK %VITH THE I~rO'MBER
Volts ·
Phase
Amps 2.. r~t'-, Swit c,hes # Fixtures
CHECK ~ ALL APPLICABLE
EIRange nDishwasher .~EIGarbage Disposal
EIFan OR Blower [] Furnace
nMotors [] Gas Pumps ~lOther
DESCRIPTION OF ALL WORK BEING DONE
nDryer
ElElectric Sign
[3Water Heater
~rAL~'E {lnclu{ling labo~ a~rl' aii materials including light
MASTER ELECTRICIAN /V~l ~ ~-~5-~'0L,~6~-~-~'~
3/02
Id NU6I:90 £00a 8_0 'Inly Oa~PgE~o~_~ : 'ON BNOHd 3ISIDBqB MOEtaU : NO~_-I