HomeMy WebLinkAbout0098659-Electric (wire 3 seasons room)OSHKOSH
ON THE WATER
.lob Address 1596 CHATHAM CIR
Contractor STUMPF ELECTRIC INC.
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner PHILIP A/KAREN LABORDE JR
Category 612 - Residential-Single Family Addition/Ret
Amps 200
~) Temp
Type I~ Overhead
Circuits 1
Switches 2
No 98659
Create Date 06/24/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ Wiring for 3 seasons room addition on the rear of the home.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 11/15/2002
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 2727 E BROADWAY DR APPLETON WI 54913 - 0 Telephone Number
(920) 968-0285
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
NOV
ELECTRICAL PERMIT APPLICATIO~rD£F£L0~£N
All information after bold categoriesmust be provided. T
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
S ERVI CE NEW CHANGE
MULTI-FAMILY RENTAL
TEMPORARY
COMMERCIAL INDUSTRIAL
NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND
NO. OF FIXTURES I SWITCHES
AMPS ZOO VOLTS
NOT APPLICABLE
RECEPTACLES ~ CIRCUITS /
P~SE
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
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 (I~cludi~g labor a~d all materials ~l~d~g l~gh~ ~ixtures) $ ~'0~. ~0