HomeMy WebLinkAbout0098835 EOSHKOSH
ON THE WATER
.lob Address 1827 MITCHELL ST
Contractor LARK ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARVIN F/VERNA SUMMERVILLE
Category 612 - Residential-Single Family Addition/Ret
Amps 20
(~ Temp
Type I~ Overhead
Circuits 2
Switches 0
No 98835
Create Date 11/27/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Aux panel & outlets.
Work
Fees: Valuation
Issued By:
$700.00
Plan Approval
$0.00 Permit Fee Paid
$30.00
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
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
ON THE WAT R
Phone (920) 236-5046
· "uEV£LopM£NT
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
CONTRACTOR
DATE ,.~'~/ ~'~'--
CIRCLE ALL APPLICABLE
SERVICE NEW CHANGE TEMPORARY
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES ~
AMPS go VOLTS I.,~--~/ ~c/~o PHASE
COMMERCIAL INDUSTRIAL
NOT APPLICABLE
CIRCUITS
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 (Including labor and a_11 ~aterials including light fixtures)
HASTER ELECTRICIAN