HomeMy WebLinkAbout0092357-Electric
G
OSHKOSH
ON THE WATER
Job Address 2230 HICKORY CT
Contractor B. Q. ELECTRIC SERVICES
CITY OF OSHKOSH
No 92357
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner JAMES MATHWIG Create Date 01/17/2002
Category 611 - Residential-New Single Family Wirin Plan
Service
o New
o Change
o Temp
Circuits
Type 0 Overhead
42
48
o Underground
Volts 120/240
Fixtures
49
58
Amps 200
Switches
Receptacles
Appliances Range, Garbage disposal, Dryer, Dishwasher, Furnace, AlC
Use/Nature of NSFR/ New home wiring.
Work
Fees: Valuation
Issued By: ~ W'-
$5,900.00
Plan Approval
$0.00
Permit Fee Paid
$120.00
Date 01/24/2002
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
2930 CONGER CT, PO BOX 346
OSHKOSH
WI 54903 - 346
Telephone Number (920) 233-9005
...
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~
OJRKO/H
ON THE WATER
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 APP'LICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. DATE \ - ok9 -Od-
JOB ADDRESS dd~O t:h c.k~ L:t. Lo+#2Do
OWNER "3\ YY\."'\- f'r\Q(':\ ~ meA- % \).) l<j
CONTRACTOR ~ E \ e ;->-1-;<, 6 S ex- v l ~ e ~} Ll..1:-
CIRCLE ALL APPLICABLE
USE CATEGORY~E F~
SERVICE ~EW)
DUPLEX
MULTI-FAMILY
RENTAL
COMMERCIAL
INDUSTRIAL
TYPE
OVERHEAD
FIXTURES~
CHANGE TEMPORARY NOT APPLICABLE
~GRO~ NOT APPLICABLE
SWITCHES LI <3 RECEPTACLES 5 ~
VOLTS) dO / d'-U2 PHASE.-J (2/
CIRCUITS
~o
NO. OF
AMPS .C)on
CHECK ALL APPLICABLE
RANGE~ WATER HEATER
D~SHWASHER~ FAN OR BLOWER
ELECTRIC SIGN
MOTORS
GARBAGE DISPbSAL~
FURNACEL
GAS PuMPS
DRYERL
A/C-.2(
OTHER
DESCRIPTION OF ALL WORK BEING DONE f\) e (A.) h [) Yn e.. .
· Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $lOO.OO plus the normal permit feel which ever is
greater.
VALUE
ials including light fixtures) $ 5;=100,00
.MASTER ELECTRICIAN