HomeMy WebLinkAbout0102958-Electric (a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1233 W 10TH AVE
MANTHEY ELECTRIC INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KEVIN T/MELANIE LAMORA
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 102958
Create Date 07/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances ~,/C
Use/Nature of SFR/Wire air conditioner.
Work
Fees: Valuation
Issued By:
$165.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 07/21/2003
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 83 BRYN MAWR CIR FOND DU LAC WI 54935 - 0 Telephone Number
920-922-9618
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
DRESS
co CTOR % 3'
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
SERVICE NEW
TYPE OVERHEAD
NO. OF FIXTURES
AMPS
CHANGE
UNDERGROUND
SWITCHES
VOLTS /
DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
PHASE
CHECK ALL APPLICABLE
RANGE
DISHWASHER
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSAL DRYER
FURNACE A/C X
GAS PUMPS OTHER
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and all materials including light fixtures) $