HomeMy WebLinkAbout0098227-Electric
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 98227
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RICHARD E ELLIS/KENNETH ELLIS Create Date 10/28/2002
Category 612 - Residential-Single Family Addition/R Plan
o Temp Type o Overhead o Underground
Circuits Fixtures
Switches 2 Receptacles
Job Address 1128 MERRILL ST
Contractor ALTMEYER ELECTRIC INC
Service b New o Change
Volts
Amps 0
Appliances Fan or Blower
Use/Nature of DUPLEXl1128A1 Bathroom remodeling.
Work
Fees: Valuation
Issued By: ~W\
$600.00
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 10/28/2002
D Permit Voided I
suant to rules governing the described construction.
Date 10-2-51'-0
Address
SHEBOYGAN WI 53081 - 0
Telephone Number 920-458-3406
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Oc~ 28 02. 09:093
Oshkosh Inspeotions
920-236-5084
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City of Oshkosh
Division of InS}leClion Services
P.O. BOll tilt>
Oshkosh. WI 54903-1130
Pbone (920) 236-5050
Fu (920) 236-~Q84
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will nut be processed,
~ Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosb WI 54903.1128. Commencing work without permit{s) wili result in fees being doubled or $100.00 pJUi the
nonnal permit fee, which c::'Ver is greater.
OR
Hvo/t arc ll,;,cntrQclo,. "articinolinr: in lhe Permit Fee Account System and hall#! adequate funds. clt~d her(,
ilJtplt want ,hts proct!snd 'hrolll" VOIO' Qecou/If 0
I DATE lOt ~~ )()?
JOB ADDRESS II dt A fY'\f\~' vi- .
OWNER
CONt'RACTOn f\ \\~ ~L E: l CL ~p..\ (.. J:./V'L
CHECK ItJ ALL APPLICABLE
USE CATEGORY
OSinglc Family t(Ouplex ~ulti.FamiIY
SERVICE DNew OTemporllry
ClCbanse oJ€!Not Applicable
[JRental
OCommerciat OIndustrial
Tlc'l'E CJOverhead ~ot Applicable
OUnderground
Volts
Phase
Amps'
FILL IN THE APPROPIUA TE BLANK WITH TlIE NtJMBE~
./
Receptacles #
I
Clreulb #
I
/.
Switches #I
rl
Fixtures 1#
CHECK ra ALL APPLICABLE
ORange
}itf8tl OR BlOWer
OMotors
DDishwasher
o Fumace
DGas Pumps
OOarbage Disposal
DAIC
DOther
CDrycr OWatc:r Heater
OEJecmc Sign
DESCRIPTION OF ALL WORK BEING DONE
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VALUE (Includlug labor and all I iRis in,ludfng light fixtures) $ If5<J (A~iJ
MASTER ELEct1UCIAN i- :;.tz..
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