HomeMy WebLinkAbout0103132-Electric (repairs to garage & utility room)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2807 NEWPORT AVE
SCHAFER ELECTRIC INC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SCOTT R/ANNE M BOYCE
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 103132
Create Date 07/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Repair misc. damage in garage and utility room due to auto accident.
Work
Fees: Valuation
Issued By:
$950.00 Plan Approval $0.00 Permit Fee Paid $45.00
Date 07/28/2003
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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
920-725-2031
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5094
O/HKO/H
ON TNF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Ro°m 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1125. Commencing work without permit(s) wilJ result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatin~ in the Permit Fee Account SFstem and have adequate funds, check here
if you want this processed through Four account []
DATE
JOB ADDRESS~__
CONTRACTOR~ ~'
CItECK [] ALL APPLICABLE
USE.~ATEGORY
[2'Single Family nDuplex [~Multi-Family
SERVICE V1New [] T_e_.zcmp or ary
ElChange J2fNot Applicable
F1Rental F1Commercial Dlndusthal
TYPE []Overhead .,~ot Applicable
DUnderground
FILL IN TI~E APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits
Phase
Amps* Switches # Fixtures
CItECK [] ALL APPLICABLE
[]Range mDishwasher F1Garbage Disposal FIDryer FlWater Heater
F1Fan OR Blower ElFurnace BA/C []Electric Sign
[2Motors DGas Pumps [ZlOther
__~DESCRIPTION OF ALL woRK BEING DONE
VALUE (Including labor and all materials including'light fixtures) $
3/02