HomeMy WebLinkAbout0099816-Electric (repair)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
JobAddress 609 BOYD ST Owner THOMAS B/HEIDI BATES Create Date 10/29/2002
Contractor B.Q. ELECTRIC SERVICES Category 612 - Residential-Single Family Addition/Ret Plan
Service I~ New (~ Change (~ Temp Type I~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Switches 0 Receptacles
Amps 0
No 99816
Appliances
Use/Nature of SFR/ Repair code violations (Repair 1 kitchen recp, 1 living room recp and 1 den recp. Install 2 ground rods to groound panel and change out
Work one breaker).
Fees: Valuation
Issued By:
$270.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 02/13/2003
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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
(920) 233-9005
City of OshkoSh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
,O_/'HKOJH
ON THF WATER
Application(s) and fee(s) can be brought to Cie 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 $1.00.00 plus the
normal permit fee, which ever is greaterl
OR
If you are 'a contractor participating in the Permit Fee Account System and have adequate funds, check here.
if you want this processed through your account [] -
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Io0fl
CHECK [] ALL APPLICABLE '<)~,~/~?~/~.~,. S .~
U~E CATEGORY ~P' [~'~4~
[~Singl¢ Family l-iDuplcx I'qMulfi-Family E]Rcntal D Commerci~Ic.Q2,~lndustrial
SERVICE ElNew F1Temporary TYPE FqOverhead I'-lNot Ap~able
[]Change ' I-INot Applicable I'qUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK [] ALL APPLICABLE
[]]Range FIDishwasher []Garbage Disposal F1Dryer []Water Heater
[]Fan OR Blower []Furnace F1A/C (~ F1Electric Si#rit I ,
F1Motors E]Gas Pumps ~Other
DESCRIPTION OF ALL WORK
, , ..nL~ ,.. BEING DONE
VALUE (Including labor and allj)~ate~nrials includiqg4~ght ~J~ures) $ ~ .F7D. Oo
MASTER ELECTRICIAN~~[~~ ~ ~
3/02