HomeMy WebLinkAbout0090813-Electric (radon fan)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 90813
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1945 HICKORY LA
Contractor D&A ELECTRIC
Service b New o Change
Volts
Amps
Appliances Fan/Blower
Owner
ROBERT G/JOYCE BOHN
Create Date 10/25/2001
Category 612 - Residential-Single Family Addition/R Plan
o Temp
Type 0 Overhead
o Underground
Circuits
Fixtures
Switches
Receptacles
I
Use/Nature of SFR/ Wire radon fan.
Work
Fees: Valuation
Issued By: K \IY\
$50.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 10/25/2001
D 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
POBOX 258
DALE
WI 54931 - 258
Telephone Number (920) 851-5920
"I!-'<t.'
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~
OJI-KOfH
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
JO-""Z.,- -01
JOB ADDRESS
FI'I J )/ c:.trJJ2- Y'
OWNER
CONTRACTOR
~ /fOO,0 S Pf-'- JA-1..JS T
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMER
L INDUSTRIAL
SERVICE
NEW
CHANGE
TYPE
OVERHEAD
UNDERGROUND
NO. OF FIXTURES
SWITCHES
RECEPTACLES
CIRCUITS
AMPS
VOLTS
/
PHASE
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWER-X-
FURNACE
AjC_
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE
L,J/Il.i ~ F/J/lJ
. Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and all materials including light fixtures) $ -i 50,00
MASTER ELECTRICIAN SJ j1}j'\/Y\A:O R '- a'UO A, ?iItMIT rf-'i.. $ 2.0,00
c.,~ -# 2'130