HomeMy WebLinkAbout0098834-Electric (smoke alarms)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2400 HAMILTON ST
LARK ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HOWARD J LOOS
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 98834
Create Date 11/18/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances qote: work started with out permits late fee accessed
Use/Nature of 1/18/02 additon of smoke alarms
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$120.00
Date 11/27/2002
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 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
? Nov 92oo2
ELECTRICAL ERMIT APPLICATION
All infomation after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THE 'vVATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating i~ the Permit Fee Account System and have' adequate funds, check here
if you want this vrocessed through your account []
DATE
JOB ADDRESS
OWNER
CONTRACTOR
CItECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family [ZIDuplex
ElMulti-Family ElRental F1C
SERVICE F1New [3Temporary TYPE FIOverhead F1Not
[3Change FINot Applicable ElUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts , _ Receptacles # Circuits #
Phase .. --, ,...
Amps _ , Switches # FiXtures #
CHECK [] ALL APPLICABLE
EIRange [3Dishwasher [3Garbage Disposal F1Dryer F1Water Heate;~t X~.~
[2]Fan OR Blower [3Furnace I-1A/C F1Electric Sign . \~S,~ ~'~
ElMotors DGas Pumps DOther _ ' - - - \~q/?~l~?.~,~.~l~':~l~'~'~
DESCRIPTION OF ALL WORK BEING DONE ~.s'/~'/~L )../,/~A"~7 ~'7'~-'cF'~'~,?~x~0u
MASTER ELECTRICIAN.VALUE (Including labor and all materials inclu?g li~h~fixtures)$ ~. I .--~.~~' -O-Z~~--~~'~--/-- .... ~~Q.Ocd_/
~'~ 3/02