HomeMy WebLinkAbout0103976-Electric (washer/dryer/whirlpool)OSHKOSH
ON THE WATER
.lob Address 734 FREDERICK ST
Contractor LARK ELECTRIC
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MATTHEW A MICHEL
Category 612 - Residential-Single Family Addition/Ret
Amps 0
~ Temp
Type I~ Overhead
Circuits 3
Switches 1
No 103976
Create Date 09/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for washer-dryer unit, whirlpool and GFI bathroom.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid $40.00
Date 09/05/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
RGg Z2 03 03:45p Oshkosh Inspeotions
P.O. Box 1130
OshkoM~, WI ~4~-1130
Ph~ (9~) ~50~
~ (920) ~0~
RECEIVED(
SEP 0 5 Of[- O
ELECTRICAL PERMIT
* Application(s) and fee(s) can be brought to City Hall, Room 205 or mait~l to Inspcction Services, ~ ~x 1 ] 25,
O~likozh WI 54903-I 128. Commencing work without l~rmit(s) will re.dr in fees being doubled or $100.00 plus the
no~,~al l~rr~t fee, which ever/s
OR
ff vou aEe a Contractar participating in the. Permit Fee ~ccount System and ka~e adequate £unds. check herr
ff vou want this t~rocessed through your account
CHECK Z ~LL APPLICABL~
USE CATEGORy
~$ingt¢ Farni;y I-~Duplcx [~3Multi-Family
SP-,RXrlc~ [~ew I~fcmpo~. y
OChange ONot Applicable
OCo~ewial OIndusa'ial
TYPE l~Overhmd [~Not Applicable
FILL IN THE APPROPRIATE BLANK wri-a 'Jt~LE NUMBER
Volts ,/7-0 / ~.c~'~ R~l~ades # ,, ~ Oreuits #,,
rbase ,. / ....
,~mps ,, Switd~ # / Fixtures #
cm~CK I~ ~,LL MTLIcAI~E
D~SCR1FI'ION OF ALL WORK BEING DONg, /~q///~'- '~--}~_ /~.~-.~/7-