HomeMy WebLinkAbout0099415-Electric (remodel bedroom)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1344 CEAPE AVE Owner
Contractor J.A.W.S. ELECTRIC Category
Service ~) New ~) Change (~ Temp }
Volts Circuits
Amps 0 Switches
No 9941
DAVID E/MARIA C VERGERONT
612- Residential-Single Family Addition/R
Type _~ Overhead
1
3
Create Date 01/10/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFPJRoughed in bedroom remodel.
Work
Fees: Valuation
Issued By: /
$300.00 Plan Approval $0,00 Permit Fee Paid $20.00
Date 01/10/2003
[] Permit Voided j
In the performance of this w. ork I..ag~~m all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO ~)X 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
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 \.VAT~R
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 Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JOB ADDRESS
CONTRACTOR
DATE
/ o/o2
I
/
CHECK [] ALL APPLICABLE
USE CATEGORY
'~],~Single Family r'lDuplex l-IMulti-Family V1Rental
SERVICE []New V1Temporary TYPE
E]Change ~l,Not Applicable
FI Commercial Ellndustrial
[]Overhead j~Not Applicable
[]Underground
FILL IN THE APPROPRIATE BLANK WITH TRE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
[]Range []Dishwasher ElGarbage Disposal
[]Fan OR Blower I-IFumace I'-IA/C
r"lMotors i-'lGas Pumps i-IOther
[]Dryer
ElElectric Sign
[]Water Heater
DESCRIPTION OF ALL WORK BEING DONE
MASTER ELECT~CI~ ~Vt~ (including labor and all t~alsl~ ~ -k~inclu~ l~ures)
(/
3/02