HomeMy WebLinkAbout0098657-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
741 BOWEN ST
DREXLER ELECTRIC
[~ New ~ Change ~ Temp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WAYNE F/MARY BOSS
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 2
No 98657
Create Date 10/16/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of RES/LATE PERMIT/Wiring for bathroom remodel.
Work
Fees: Valuation
Issued By:
$601.00 Plan Approval
$0.00 Permit Fee Paid
$30.00
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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number
589-6700
$ Division of Inspection Services
215 Church Avenue
P.O. Box 1130
~ Oshkosh, WI 54903-1130
Fax (920) 236-5084
ON THE ~ATER
Phone (920) 236-5046
ELECTRICAL PERMIT
All information after bold categories must be provided.
Incomplete applications will not be processed.
CONTRACTOR
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMIL~~TI-FAMIL¥ RENTAL/-~-~COMM~ER-C-/~INDUSTRIAL
NEW cHANGE TEMPORARY ,~PLICAB~
SERVICE
TYPE OVERHEAD UNDERGROUND ~~___2~ICABLE ~2
NO. OF FIXTURES ~___. SWITCHES ? RECEPTACLES ~ CIRCUITS
~PS -~..,:.o VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER ~ FURNACE__ A/C__
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESC~ZPTZON O~ ALL WORK ~EZN~ DO~ ~/~/+Tt+ /$~/~ /~'~~ ~____~'
· 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 (Including labor and all materials in. cluding
light fixtures) $