HomeMy WebLinkAbout0098995 EOSHKOSH
ON THE WATER
JobAddress 17W LINWOOD AVE Owner
Contractor HOEHNE ELECTRIC Category
Service ~) New (~ Change (~ Temp I
Volts Circuits
Amps 0 Switches
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
JEFFREY A HOEHNE
612 - Residential-Single Family Addition/R
Type (~ Overhead
0
0
No 98995
Create Date 12/09/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ Wiring for addition to existing single family dwelling with full basement.
Work
Fees: Valuation $700.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $30.00
Date 12/09/2002
[] 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 813 E RIVER DR OMRO WI 54963 - 0 Telephone Number
920-685-0199
Fax
JOB
CO~
SER
Volts
Phas,
Amp
C~
ClP~
13F~,
KIM~
DEF~
VAL
too~
of Impection Services
WI 54903-1130
,-i(920) 236-$050
236-5084
PERMIT APPI=IGATION
All information after bold categories must be provided,
Incomplete applicafion~ will not be pro~cssed.
O/HKO/H
ON THF ~ATt~R
) and fee(s) can be brought to City Hall, Room 205 or mailed to h~-'ction Services, PO Box 1128,
54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
fee, which ever is greater.
OR
in the 'trait Fee .4cc
~K [] ALL APPLICABLE
~ATEGORY
~le Family ElDuplex .
ICE ONew "
r'iMulti-Family 121Rental
ClTemporary TYPE
CINo! Applicable
OCommercial Olndustrial
nOverhead r=lNot Applicable
ClUnderground
tN ~ APPROPRIATE BLANK WITH THE NUMBER
I / Receptacles #
Circuits #
Switches
CK lil ALL APPLICABLE
~e ODishwasl~r OGarbage Disposal
t OR Blower ClFumace EIA/C.
)~rs ClGas Pumps ' OOther ~
/ JJ J4,
Fixtures #
ODryer 'OWater Heater
r=lElectric Sign
E (Including labor an~/""~"'JSd~s, including h'ght.fixtures) $ '~t~, (~0
3/02