HomeMy WebLinkAbout0102893-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1822 MCCURDY ST
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner PHYLLIS F SMIDT
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 1
No 102893
Create Date 07/17/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wire entryway. *JOb #37570.
Work
Fees: Valuation
Issued By:
$550.00
Plan Approval
$0.00 Permit Fee Paid
$25.00
Date 07/17/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
07/15/2005 WED 12:$1 FAX 920 ?38 8967 SERVICE ~0017001
City of Oshkosh
Division of Inspec~.ioll Services
P,O, BOX 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be pt'ovided,
Incomplete applications xvill no~ be processed.
Q/'HKO_/H
normal p~rm. it fcc, which ever is greater.
OR
If you are a qpntrac, td~r portici~atine fn the P.e..rmVj~ee
(f ~ou wg~Tt this orocessed rhrou~,]~ vour account
Application(s) and fee(a) can be brought to City Hall, Room 205 or mailed to .Inspection Services, PO Box 1128,
OskkoshW~ 54903-1128, Commen¢ing work without permit(s) will result in fees bcmg doubled or $100.00 plus the
/
CHECK Rl,~x,l, APPLICABLE
System anti have adeauate fund,v, check here
USE CATEGORY
~ingle Family fqDuplex E1Muhi-Family
SERVICE r'lNew ElTempomry
E]Change VINot Applicable
V1Rental E]Commarcial Vllndustrial
TYPE ~Overhead E]Not Applicable
nUnderground
FILL 1N THE APPROPRIATE BLANK WlTN l'Rg NUMBER
Volts, ...... / Receptacles # ~7~ Circuits
Phase
Amps Switches # ]' Fixtures
CHECK IZ ALL APPLICABLE
VlRange V1Dishwasher V1Garbage Disposal VIDryer
VIFan OR Blower V1Fumaee EIA/C VIElectric Sign
ElMotors [3Gas Pumps ElOlher .
DESCRIPTIOS OF ALL WORK BEING DONE ~ i r'~._, ~V] II'~//A2 ~/
nWater Heater
VALUE (Including labor and all materials including light fixtures)