HomeMy WebLinkAbout2003-Electric (addition)OSHKOSH
ON THE WATER
,Job Address 746 PROSPECT AVE
Contractor M&M ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEFFREY J WICINSKY
Category 612 - Residential-Single Family Addition/Ret
Amps 100
~) Temp
Type I~ Overhead
Circuits 3
Switches 8
No 102844
Create Date 05/01/2003
Plan
~ Underground
Fixtures
Receptacles
9
18
Appliances
Use/Nature of SFR/Wiring for a 24' x 28' addition on the rear of the house for 3 bedrooms.
Work
Fees: Valuation
Issued By:
$1,400.00 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 Osb. kosh
Division oflnspecdon Services
P.O. Box 1 t30
Oshkosh, W1 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
Oshkosh I~speotions 920-236-5084
co
ELECTRICA[~.~PPLICATION
All info~tien after bold categode~ must be provided.
lnco~lete applicafi~s will not ~ processed.
s 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 Permit Fee Account SFstem and have adequate funds~ check here
i~¥ou w'ant this processed rhrouKh your accounI []
Jo ,. o ss'c
CHECK [~ ALL APPLICABLE
USE CATEGORY
CISingle Family E]Duplex
CIMulti-Family
SERVICE nNcw
vlChange
[:]Temporary
EjtNoI Applicable
[3Commercial Cllndustriat
TYPE ElOverhead ii,Not Applicable
nUnderground
FILL IN THE APPROPRIATE BLANK WITH THIg NUMBER
Volts / aqo cept=t Circnits 3
Phase [
Amps / ~ ~ Switches ~ ~ Fixtures ~ ~
CHJECK I~ ALL APPLICABLE
nRange VIDishwasher l:lGarbage Disposal I'-IDryer
~Fan OR Blower [3Furnace U1A/C lDElectric Sign
nMotors I2Gas Pumps E]Other
DESCRIPTION OF ALL WORK BEING DONE, ~ ~ ~ droc ~-~ ~ dg I f,tO~
FlWater Heater
VALUE (Including labor and all materials including light fi~ ff/Z/0~, ~ d
MASTER ELECTRICIAN ~-~ ~
3102