HomeMy WebLinkAbout2002-Electric ♦ /�'+ CITY OF OSHKOSH Noszzsa
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER �
Job Address 3875 WOOD DUCK CT Owner W INFIELD HOMES Create Date 72/14/2001
Contractor SUBURBAN ELECTRIC INC Category 611 -Residential-New Single Family Wirin Plan
Service New 0 Change � Temp Type �_Overhead __. _ � Underground _ '.
Volts 120/240 Circuits Fixtures
Amps 200 Switches Receptacles
Appliances Range,Water heater,Grabage disposal,Dryer,Dishwasher, Furnace&A/C. �,
Use/Nature of ;NSFR/New electrical service. ��
Work �
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Fees: Valuation $5,365.00 Plan Approval $0.00 Permit Fee Paid �120.00
Issued By: � Date 01/17/2002
� Permit Voided �
In the performance of this work I agree to perfo�m all work�ursuant to rules goveming the described construction.
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Signature _ �,� �^ _�;t Date
Agent/Owner
Address 709 HICKORY FARM LN APPLETON WI 54915 -0 Telephone Number (920)739-5156
� Nov 15 O1 08: 26a Code Enforcement 920-236-5084 p. l
� Division of Inspection Sezvices
AS Church Avenue
P.O. Box 1130
� Oshkosh, wI 54903-1130
o���ewn,ev Fax (920) 236-SOB4
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DAT& ���'CI�-'
JOS ADDRESS Jo 7� WQ(y,�(,�L(.,�,�{, `X
owxfix �` i rn Bb�rl rir
CONTRACTOR lN((�}-I��CI �-C1� ( '��1r�.L+l G�'t
CIRCLE ALL APPLICABLS
VSS CATHGORY SINGLE FAMI DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SBRVICE " N •' CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD ERGROiIDTP-� NOT APPLZCABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS�_ VOLTS 1�CJ I d`f�v PHASH �
CHECK ALL APPLICABL$
RANGE V WATER HEATER v GARBAGE DISPOSAL� DRYER v �
DISHWASAER V FAN OR BLOWER_ FURNACE V A/C j/
ELECTRIC SIGN_ MOTORS_ GAS PUMPS OTHER
DSSCRIPTION OF ALL WORK BBING DON� C,(.CJ� ,(��/'���1�y�/�/� j �j'��
• 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,
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VALU& (Including labor and all matariala including light fixtures) $ .���5�
MASTSR SLSCTRICIAN