HomeMy WebLinkAbout0099146-Electric (garage) � CITY OF OSHKOSH No99146 ��'�'�,�, ;
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OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER 9r�
Job Address 2291 GRACELAND CT Owner MR/MRS CLINTON VANSCHAICK Create Date 11/19/2002
Contractor STUMPF ELECTRIC INC. Category 612-Residential-Single Family Addition/R Plan
Service New � Change � Temp Type � Overhead � Underground �
Volts Circuits 0 Fixtures 2
Amps 0 Switches 0 Receptacles 3
Appliances
Use/Nature of FR/ Wiring for garage.
Work
Fees: Valuation $400.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 12/19/2002
� Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2727 E BROADWAY DR APPLETON WI 54913 -0 Telephone Number (920)968-0285
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Division of Ins ection Services
� 215 Church Avenue 1 �n�> ,+
P.O. Box 1130 C p r a�
� Oshkosh, WI 54903-1130 DLC � f �.'J✓.�
Fax (920) 236-5084
ONTHEWRER phone c92o, 236-5046 D�PA�TM�NT OF
������UNITY DE!lELOPMENT
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DAT$ I Z I���L
Jos ADDRSS S 2 2�/ C rd�e 1�.r� Cf-
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CONTRACTOR �.JJI�m� G����C ��C=
CIRCLB ALL APPLICABL$
USB CAT$GORY SINGLE FAMILY� DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
S$RVIC$ NEW CHANGE TEMPORARY NOT APPLICABLE :
TYP$ OVERHEAD UNDERGROUND NOT AP C E, ;
NO. OF FIXTURES�_ SWITCHES RECEPTACLES � CIRCUITS
AMPS VOLTS / PHASS
CHBCK ALL APPLICABL$
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
D$SCRIPTION OF ALL WORK B$ING DONE (��I'/�G/ �7.�/r t�)C.t YG���e
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100 .00 plus the normal permit fee, which ever is
greater. .
VALIIS (Including labor and all materials including light fixturas) $ �vv'v`�
MASTSR SLSCTRICIAN�OGLG� ��l�J]