HomeMy WebLinkAbout0099148 EOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 620 N SAWYER ST Owner
Contractor HERITAGE ELECTRIC INC Category
Service ~) New O Change
Volts Circuits
Amps 0 Switches
JAMES J/BRENDA SMITH
612 - Residential-Single Family Addition/R
Type (~ Overhead
0
0
No 99148
Create Date 12/19/2002
Plan
(~) Underground
Fixtures
Receptacles
Appliances ¥C
Use/Nature of SFPJ Wire new NC.
Work
Fees: Valuation
Issued By:
$150.00 Plan Approval $0.00 Permit Fee Paid $20.00
[] Permit Voided
Date 12/19/2002
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 720 W WEll_AND AVE APPLETON WI 54914 - 0 Telephone Number
(920)734-3734
O/HKO/H
Division of Inspection Services
215 Church Avenue
P.O Box 1130
Oshkosh~ WI 54903-1130
Fax (920} 236-5084
Phone 920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold casegcrzes must be provided.
Incomplete applications wzll no5 be processed.
CHECK [] ALL APPLICABLE
USE CATEGORY
~Sing!e Family
SERVICE ~New
[]Change
DEC 1 9 2 02
Y ' r 'LOpit, I£NT
[]Duplex []Multi-Family []Rental []Commercial []industrial
[]Temporary
'~Yot Applicable
TYPE []Overhead ~k~%t Applicable
[]Underground
FiLL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits
Phase
Amps Switches ~ Fixtures
CHECK [] ALL APPLICABLE
ORange
~Fan OR Blower
~Mo~ors
~Dishwasher
~Furnace
~Gas Pumps
DESCRIPTION OF ALL WORK BEING DONE
~Garbage Disposal
~O~her
~DRYER [Water Heater
~Electric Sign
e Application{s) and fee(s) can be brought 50 City Hall, RoOm 205 or mailed ~o
Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commensing work
without permit(s) will result in fees being doukled or St00.00 plus the normal
permit fee, which ever is grea~er.
OR
Check here if you ~anu this processed Chrou~ your accoun~ []
VALUE (Including l~or and all materials including light fixtures) S
~STER ELECTRICI~ ~~ ~