HomeMy WebLinkAbout0102721-Electric (subpanel)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1665 ARLINGTON DR
BQ ELECTRIC SERVICES LLC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RONALD J/LEANNE BURNS
Category 634- Residential-Service Change
Type I~ Overhead
Circuits 0
Switches 0
No 102721
Create Date 07/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install new 100amp subpanel.
Work
Fees: Valuation
Issued By:
$356.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 07/09/2003
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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
(920) 233-9005
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
UUL o zoos O,/HKO_/H
All information after bold categories must
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will resul~ in fees being doubled or $1.00.00 plus the
normal permit fee, which ever is greater.
OR
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
03
.lOB ADDRESS lb(05 A ("1; r~5~"~)J/'~ ~(X.
CONTRACTOR ~,, !eck, o .C.ed. v,o ;LLC.
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family [ZIDuplex
[2Multi-Family
SERVICE IDNew F1Temporary
F1Change [2]Not Applicable
[2Rental F1Commercial r-llndustrial
TYPE E]Overhead UINot Applicable
r-lUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK [] ALL APPLICABLE
EIRange F1Dishwasher [2Garbage Disposal 12Dryer FtWater Heater
F1Fan OR Blower U]Fumace F1A/C F1Electric Sign
[2]Motors FlGas Pumps ~Other
DESCRIPTION OF ALL WORK BEING DONE '1 ~'{-t;L\ [
VALUE (Including labor and all materi.91s including light fi~ures) $ ~(O .0~
3/02