HomeMy WebLinkAbout0099521 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1336 ONTARIO ST
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CYNTHIA R ERSPAMER
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 99521
Create Date 01/20/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install 3 overhead lights w/switches in upper bedrooms.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 01/20/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
01/20/2003 MON 07:23 FAX 920 738 8987 SERVICE
City of Oshkosh
Division of Impcction Scrvic.~
P.O. Box 11~0
Os~o~h, WI 54903-1130
P~na (920} 236-5050
F~ (920) 23~50~
ELECTRICAL PERMIT APPLICATION
All information after bold categories must bc provided,
lncomplele applications will not be processed.
~001/001
* Application(s) and fee(s) c~n be brought to City Hall, Room 205 or mailed lo Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will r~sul! in fees being doubled or $100.00 plus the
normal permit fee, which ev~ is greater.
OR
If you are a contractor~partiei~atine_ in the Permit Fee Account System and have adequate fu.n_ds~check here
if you want this processed., through your account [~]
CHECK 21 ALL APPLICABLE
in CATEGORY
gle Family f'lDuplex CIMulti-Family
SERVICE [3New rlTemporary
~Changc ~ot Applicable
ElReatal I"lCommercial I~Industrial
TYPE ElOverhead ~ot
Applicable
C3Undergrouud
FILL IN TBCE APPROPRIATE BLANK WITH THE NUMBER
Volts · I Receptacles #
Phase
Amps Switches #
Circuits
Fixtures
CyrlECK 2I ALL AFPLICABLE
ORange ~Dishwnsher 1'3Garbage Disposal
ClFan OR Blower OFurnace KIA/C
~Motors I-IGas Pumps J~Dther ~_~Z/'/
DESCRIPTION OF ALL WORK BEING DONE_ ~-v, 6'~ t/
~Water Hea~c
VALUE (Including labor and ill materials ineluding light fixtures)