HomeMy WebLinkAbout0099286 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
70 STONEY BEACH RD
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SHARON A GALLAGHER DOBISH
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 99286
Create Date 12/31/2002
Plan
~ Underground
Fixtures
Receptacles
13
0
Appliances
Use/Nature of SFR/Kitchen remodel (Install 6 cans in kitchen, 6 under cabinet lights & hang 1 light). *Job #36618
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid
$45.00
Date 01/03/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
12/3~/2002 M0N 14:55 FAX
City of O~hkosh
Division of Inspection Services
P.O. Box 1130
Osh&ush, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
920 738 8987 SERVICE
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incompktc applications will not bc pl'ocessed.
~001/001
0/_H_ KO./H
· 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 bcmg doubled or $100.00 plus the
normal permit fcc, which ever is greater.
OR
I_f you ar_~. a.contractor hattie(paring in the. P.¢rmit Fee Jccount System and haze ~_d~equate funds, check here
tf FOu want this procesged through your account []
JOB ADDRESS
OWNER.
CONTRACTOR
DATE /~/~?> ,,:~-"'
CHECK [] ALL APPLICABLE
EmCATEGORY
gle Yamil¥ DDuplex I~Multi-Faraily
SERVICE 1-1New I-1Temporary
IZIChange I"lNot Applicable
I-IR. ental []Commercial ElIndustrial
TYPE DOverhcad ~Not Applicable
I~Underground
FILL IN TEIE APPROPRIATE BLANK WITH THE NUMBER
Volts I Receptacles #
Phase
Amps ~ Switches #
CHECK [] ALL APPLICABLE
Circuits #
Fixtures #
IZlRange r'lDishwasher DGarbage Disposal
F1Fan OR Blower FIFurnace I-IA/C
~Motors OGas Pumps IZIOther _.-~
___ .;. ..... Ii)
FIDryer
FIElectric Sign
FIWater Heater
VALUE (Including labor and ali materials including light fixtures) $
ooo. OO