HomeMy WebLinkAbout0102843-ElectricOSHKOSH
ON THE WATER
.lob Address 506 SCOTT AVE
Contractor M&M ELECTRIC
Service [~ New
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEFFREY J/SUE A WICINSKY
Category 612 - Residential-Single Family Addition/Ret
Amps 100
Change ~) Temp
No 102843
Create Date 05/01/2003
Plan
Type I~ Overhead ~ Underground
Circuits 3 Fixtures
Switches 6 Receptacles
9
20
Appliances
Use/Nature of SFR/ Wiring for a 24' x 31' Single family addition to include remodeling existing bedroom into a bathroom and 100amp new service.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 07/15/2003
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 175 MC KINLEYAVE Omro WI 54963 - 0 Telephone Number
920-685-3071
City of Oshkosh
Division of Iuspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 t30
Phone (920) 236-5050
Fax (920) 236-5084
Oshkosh Inspoctions~-23S-S084 p.3
All information after bold calegories must be~.
Inco~lete applications will not ~ proc~sed."~/~
· Application(s) snd fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencin~ work without permit(s) will result in fees beiug doubled or 5;100.00 plus the
normal permit fee, which ever is grealer.
OR
If you are a contractor participating in the Permit Fee Account Sistem and...have adequate funds, check here
,if you want this processed through your account []
nm ss
CONTRACTOR
CHECK [~ ALL APPLICABLE
USE CATEGORY
[]Single Family []Duplex nMuki-Family [~kental []Commercial nlndustrial
SERVICE .~'ew ~Temporary TYPE erhead nNot Applicable
~Change nNot Applicable nUnderground
FrLL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
CH3ECK lEI ALL APPLICABLE
[i)Rmge nDiahwasher nGarbage Disposal
E]Fan OR Blower nFumace r'IAJC
IZIMotors IZl C:eas Pumps r'lOther
DESCRIPTION OF ALL WORK BEING DONE
nDryer UlWater Heater
DElectric Sign
VALU~ (Including I~bor ~nd ~11 material~ including light. S ~ 200~. 00
3/02