HomeMy WebLinkAbout2002-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
743 POWERS ST
SECKAR ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SUSAN M KELLOGG
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 2
No 98626
Create Date 11/11/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower.
Use/Nature of SFR/ Remodeling a basement bathroom.
Work
Fees: Valuation
Issued By:
$500.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 11/13/2002
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 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 - 0 Telephone Number
(920) 582-4909
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THF \'VATER
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, 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 in the Perm~,ff/~e Account System and have adequate funds, check here
if You want this processed through your account z~
DATE ~00. /~ ,~...00 ~..
JOB
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
~ingle Family U1Duplex E]Multi-Family
EIRental
SERVICE ["lNew UITemporary TYPE
EIChange ~Not Applicable
F1Commercial Fllndustrial
F1Overhead ~q'~o t Applicable
IZlUnderground
FILL IN T1TE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
E1Range EIDishwasher F1Garbage Disposal ElDryer
'~pan OR Blower EIFumace FIA/C EIElectric Sign
FIMotors F1Gas Pumps ElOther
DESCRIPTION OF ALL WORK BEING DONE
F1Water Heater
MASTERVALUE (Including lab°r and all_~erial~,;f~~ght fixtures) $ ?'~)~)~' ~3 c3 ELECTRICIAN '
3/02