HomeMy WebLinkAbout0098955 EOSHKOSH
ON THE WATER
JobAddres$ 419421 SCOTTAVE
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Contractor VAN ERT ELECTRIC
Service [~) New (~ Change O Temp
Volts
Amps 0
Owner SCHMIEDEL ENTERPRISES LLC
Category 623- ResidentiaI-DuplexAddition/RemodE
J Type (~ Overhead
Circuits 0
Switches 0
No 98955
Create Date 12/05/2002
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of RENTAL/421/Remodel bathroom - pulling wire for lights & recps. *Job #F1512-AY.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 12/05/2002
[] Permit Voided J
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
FAX 920 766 0883
VAN ERT ELECTRIC
~002
City of Oshkosh
Division of Inspection Services
P,O- Box t 130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 2~6-50S4
ELECTRICAL PERMIT APPLICATION
All information after bold camgorles must b~ provided.
Incomplete applications will not b~ Processc&
Appli~tion(s) and fee(s) em be brought to City Hail, Room 205 or m~iled to Inspection Sendces, PO Box 1128.
Oshkosh WI 54903-1128.' Commencing work without p~.rmit(s) will re~Jlt in f~cs being doubled or $100.00 plus'
normal permit fee, which over is great~.
If you er,¢ a contractor oar~icJpatintz in the Permit~ee .4ccou. nt System and have adequate fun,ds,
CHECK [] ALL APPLICABLE
USE CATEGORY ~
E]Singl¢ Family [Z]Dupliex CIMulti-Family
SERVICE EINcw EITemporzr~
I"]Cha~ge ~o~ Applicable
mal rlCommercial ClIndu~tr/al
TYPE nOverhead ~Not Applicable
I~I~detgtourtd
FIIL IN ~ APPROPRJJ~,TE BLANK WITH THE _N]JMBER
Volts' I ,., Receptacles # r j
Pbase
Amps Switches #
Orc~s #
Fixtures # ,
CHECK ~ ALL APPLICABLE
npomge EID~shwashe~ ~]Garbagc Disposal ['lDryer
E]Fofl OR Blower r'lFc~.ace EIA/C DElectric Sign
DMotors DGas Pamp~ ~Other _- -
-'
VALUE (Including libor ,.~i all materials in¢luding.~HgM rm. reO $ ~,-~ ~
OWater Heater
,1~/04/02
i$:29 'FAX 920 ?66 0883 VA~ ERT HLECTRI¢
~001
Van
ELECTKIC COMP-ANY, INC.
200.9 Progress Way, Kaukauna, WI 54130
Tel: :(920) 766-3888 Fax: (920) 766-0883
http:l/www.vanert.com
'FAx COVER SHEET
DATE:
CONTACT NAI~E:
SENDER: Anita ~aland Ext. 154
NU44BER OF ?,4EE$ IN~?LUDIN~ dOVER SHEET.*