HomeMy WebLinkAbout0091415-Electric (siding)
.~ ~
OSHKOSH
ON THE WATER
Job Address 2420 HICKORY LN
CITY OF OSHKOSH
N091415
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner HARRY SCHERER Create Date 11/08/2001
Contractor HOEHNE ELECTRIC
Category 612 - Residential-Single Family Addition/R Plan
Service
b New
o Change
o Temp
Type 0 Overhead
o Underground
Volts
Circuits
Fixtures
Amps
Switches
Receptacles
Appliances
Use/Nature of SFR/ In association with siding. Install one outside light and GFI receptacle. * (see permit #91180)
Work
Fees: Valuation
Issued By: (< \^I\
$100.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 11/20/2001
D P~rmit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
621 E ONTARIO ST
OMRO
WI 54963 - 0
Telephone Number (920) 685-0199 M 920-42C
""
~
QZA<OJH
ON Ttll. WMe8
Division. of Inspection Services
215 ChuJ;<:n-Avenue
P.O. Box 11.30
Oshkosh, WI 54903-1130
Fax '.CnttJ 23b ~-SlliI4
Phone (920) 236~5046
Sfk~+~~?~ ~
.~p\~
ELECTRICAL "pERMi'l'AP.PLi:CATION
All information after bold categories must be provided.
Incomplete applications 'wi:l1 :not. be processed .
OWNER
DATElJ-1 <;'0 I
CONTRACTOR
CXRCLB ALL APPLXCABLE
USE CATEGORY SINGL'EFAMI'LY DUPLEX:MUIi'I'I'"FAMiLY .RENTAL -coMMERCIAL INDUSTRIAL
SERVXCE
NEW
OVE~
CHANGE
TEMPORARY
NOT APPLICABLE
TYPE
UNDERGROUND
NOT..APPLICABLE
NO. OF FIXTURES_
AMPS
SWITCHES
RECEPTACLES
CIRCUITS
VOLTS
I
PHASE
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
-FAN GR-BLGWER_
-FURNACE_
A/C_
ELECTRIC SIGN~
. Submit payment ,with application. FaIlure to pay.within30 days will result in
fees being dOubl-edor-$l-o-o .-00 plus thenormalpemitf-ee ,which-everi-s
greater.
VALUE
nd all materials including light fixtures)~(j.. oc)
KASTBR BLBCTRJ:CJ:
TOO~
::>T..Il::>aUI auqaoH
t'ttOSR!i 06'6 XVd' OT: 8-t" NON ---lo--;TifC7Tt-