HomeMy WebLinkAbout0099652 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1822 MENOMINEE DR
DREXLER ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner TEEI SHOES
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 99652
Create Date 02/03/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Vlotors
Use/Nature of SFR/Garbage disposal wiring.
Work
Fees: Valuation
Issued By:
$150.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/03/2003
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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number
589-6700
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 APPLICATI~V/h~
All
information after bold categories must provided.
be
1~ at~ons w~ll not be rocessed
Incomplete app 'c ' ' p ·
USE CATEGORYJ~_~LE ~ DUPLEX MULTI-FAMILY RENTAL C~NDUSTRIAL
SERVICE k~-~44~W~-~'CHANGE TEMPORA~R~Y~ ~k~APPL~
TYPE
OVERHEAD UA/DERGROUND kNOTAP~
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS / P~ASE
CHECK ALL APPLICABLE
RANGE
DISHWASHER
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS~
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSAL
FURNACE
GAS PUMPS
DRYER
A/C
OTHER
Submit payment with application. Failure to pay within 30 days will resul[ in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
MASTER ELECTRICIAN
light fixtures) $