HomeMy WebLinkAbout0099362 EOSHKOSH
ON THE WATER
Job Address 1523 N MAIN ST
Contractor LARK ELECTRIC
Service [~ New (~) Change (~) Temp
Volts 120
Amps 15
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOSEPH J/AUDREY SPANBAUER IV
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 0
No 99362
Create Date 01/08/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install outlets.
Work
Fees: Valuation
Issued By:
$300.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 01/08/2003
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 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
JAN 0 8 200,~
DEPARTMENT OF
ELECTRICAL P E I~ ~ L~TI:YL~ ~ ~NT
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON TH~ WATER
· Application(s) and fee(s) can be brought to City Hail, 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 Permit Fee Account S~,stem and have adequate £unds, check here
if you want this processed through your account []
JOB ADDRESS
OWNER
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
[~[Single Family I--]Duplex E]Multi-Family
SERVICE U1New FlTemporary
U1Change []Not Applicable
ElRental
TYPE
F1Commercial IDIndustrial
[] Overhead []Not 'Applicable
[]Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~ ~.. o / Receptacles # 7
Phase /
Amps - /,5" Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
EIRange []Dishwasher [ZIGarbage Disposal
[2Fan OR Blower []Furnace EIA/C
[3Motors [3Gas Pumps [3Other
DESCRIPTION OF ALL WORK BEING DONE
l-lDryer []Water Heater
[2Electric Sign
VALUE (Including labor and all materials includ~ fixtures)
3/02