HomeMy WebLinkAbout0098852-Electric (addition)OSHKOSH
ON THE WATER
Job Address 4440 ISLAND VIEW DR
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Contractor P&J KAMPO ELECTRIC INC
Service ~) New (~ Change O Temp
Volts
Amps 0
Owner
Category
RODNEY L/ROSEMA BUSCH
612 - Residential-Single Family Addition/R
Type O Overhead
Circuits 2
Switches 3
No 98852
Create Date 07/31/2002
Plan
C) Underground
Fixtures
Receptacles
10
Appliances
Use/Nature of '3FR/Wire addition to the existing home.
Work
Fees: Valuation
Issued By: K~
$450.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 12/02/2002
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 50 PHEASANT CT APPLETON WI 54915 - 0 Telephone Number
920-730,8556
City 6f Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVE
o O_/HKOJ'H
O~ THF W^TER
ELECTRICAL PERMIT APPL T OF
Inco~lete applicafio~ ~11 not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to. Inspection Services, PO B°x 1 !28.
OshkOhh WI 54903'1 128.. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I£ you are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
if you Want this processed through your account []
JOB ADDRESS
ow .
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family UIDuplex
12Multi-Family
12Rental F'lCommercial F'llndustrial
SERVICE t-INexv
r-lChange
[:ITemporary
FINot Applicable
TYPE 12Overhead
r'lUnderground
FINot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits
Fixtures
CHECK [] ALL 'A4PPLICABLE
FIRange
F1Fan OR Bloxver
F'lMotors
FIDishwasher
DFumace
F1Gas Pumps
F1Garbage Disposal
UIA/C
I-IOther
DESCRIPTION OF ALL WORK BEING DONE
F1Dryer UIWater Heater
r"IElecmc Sign
VALUE (Including labor and all mate__rials including light fixtures) $
MASTER ELECTRICIAN ~~ )~~
3/02