HomeMy WebLinkAbout0098851-Electric (outside light)OSHKOSH
ON THE WATER
JobAddress 857WISCONSIN ST
Contractor SLIM'S ELECTRIC, INC.
Service ~ New (~ Change O Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner MICHAEL R BREFCZYNSKI
Category 612 - Residential-Single Family Addition/R
I Type (~ Overhead
Circuits 0
Switches 0
No 98851
Create Date 12/02/2002
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFP,/Wire outside yard light.
Work
Fees: Valuation
Issued By:
$150.00 Plan Approval
$0.00 Permit Fee Paid $20.00
[] Permit Voided
Date 12/02/2002
In the performance of this work agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2608 OAKWOOD CIR OSHKOSH WI 54904 - 8466 Telephone Number
(920) 426-5249
Div~n of Inspection
P.O. Box 1130
Oshkosh, ~ 54903-I
P~ (920) 2~6-5050
Fax (920) 236-50~4
ELECTPJCAL PERMIT APPLICATION
Ali ~orma~n ~fter bold categories must be provided.
Incomplete applications will not be processed,
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 thc
normal permit fee, which ever is greater.
OR
lf vo~u are a contractor ~artic~pating in the Permit Fee ,tccount Swtem end.have_:~dequate funds, check h~r.e
ff Vou want this t~rocessed through your account D
JOB ADDRESS 857 Wisconsin
ow~v. Mike Brefezynski
com'anc~oa Slim's Electric Inc.
ORental
CI~ECK El ALL APPLICABI.~
USE CATEGORY
C]Single F~ily ~D~lex
~~ ~N~ DTe~
~ge ~ot A~lic~le
~~ _.1~2~/02
DEC 0 2
' DEPARTMENTo~,~
COMMUNITY DEVELOPi:~,eNT
~Co~ial ~dm~
OUnderground
l-INot Applicable
FILL IN THE APPROPRIATE BLANK WITH ~ NUMBER
Volts I ,, Receptacles #
Phase
Amps · Switches g.
Cirmits #
Ftmres #
ALL APPLICABLE
DRange []Dishwasher nGarbage Disposal
F'lFan OR Blowe~ OFurnace E]A]C
~Motors ~Gas Pumps OOther
aElectric Sign
DESCRIPTION OF ALL WORK BEI~qC r~on-'~ Outside yard light.
GWater Heater
3/02