HomeMy WebLinkAbout0099155-Electric (garage)OSHKOSH
ON THE WATER
C~TY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 1500 JACKSON ST
Contractor MY ELECTRIC CORP.
Service ~ New (~) Change (~) Temp
Volts
Amps 0
Owner
Category
Circuits
Switches
SARA M DOUGHERTY
612 - Residential-Single Family AdditionlR
Type (~ Overhead
0
0
No 99155
Create Date 12/19/2002
Plan
(~_ Underground .1
Fixtures 0
Receptacles 0
Appliances
Use/Nature of SFR/Wire garage, outlets in house.
Work
Fees: Valuation
Issued By: ~
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 12/19/2002
[] Permit Voided ~
In the performance of this work~/ree to perfor~'~ll work pursuant to rules governing the described construction.
-v -y '~/~//~ - AgentJOwner
Address 1512 RUG~3'~ ST ~ OSHKOSH
Date
WI 54902 - 6360 Telephone Number (920) 231-0707
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THF WATER
· 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 fun/ds, check here
if you want this processed through your account [--] /~/,~////~'~
DATE ~
5,7
JOBADD SS / 0
CI-W~CK [] ALL APPLICABLE
USE CATEGORY
~~Family I"lDuplex F1Multi-Family
SERVICE F1New F1Temporary
FIChange F'iNot Applicable
VIRental
TYPE
l-lCommercial VlIndustrial
VlOverhead [~-N'6~Applicable
V1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
ElRange IZIDishwasher ElGarbage Disposal
[=]Fan OR Blower FIFumace EIA/C
DMotors E]Gas Pumps [21Other
DESCRIPTION OF ALL WORK BEING DONE ~tw ~.
F1Dryer F1Water Heater
[2Electric Sign
VALUE (Including labor and all materials ifnclu.ding light fixt~es) $ ~'~ O- 0 ~)
3/02