HomeMy WebLinkAbout0102663-Electric (upper rough in only)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
527 W 15TH AVE
SECKAR ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MR/MRS MARKA MARHEFKE
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 1
No 102663
Create Date 07/07/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Rough-in ONLY for upper bedroom.
Work
Fees: Valuation
Issued By:
$250.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
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 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 - 0 Telephone Number
(920) 582-4909
City of Oshkosh
Divisi°n of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON TNF WATER
ELECTRICAL PERMIT APPLICATION
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 54903-1128. 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 Perm[l F~'e
ff ¥ou want this processed through your account/~
Account System and have adequate funds, check here
CHECK [] ALL APPLICABLE
I~nCATEGORY
gl¢ Family E3Duplex ElMulti-Family
SERVICE F1New FIT.emporary
[3Change J~ot Applicable
EIRental F1Commercial Fllndustrial
TYPE [3Overhead l~t Applicable
[3Underground
FILL IN THE APPROPRIATE BLANK WITH TI-rE NUMBER
Volts / Receptacles # ~
Phase j
Amps. Switches #
Circuits
Fixtures
CI-W~CK [] ALL APPLICABLE
[3Range U1Dishwasher F1Garbage Disposal
I-lFan OR Blower FIFurnace [3A/C
U1Motors IDGas Pumps I-1Other
[3Dryer
FIElectric Sign
DESCRIPTION OF ALL WORK BEINO DONE - O/L L- 2
pO O /h -
FlWater Heater
VALUE (Including labor and all ~aterials~ding light fixtures) $
MASTER ELECTRICIAN
3/02