HomeMy WebLinkAbout0085705-Electric (bath remodel)
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OSHKOSH
ON THE WATER
Job Address 2440 HICKORY LN
CITY OF OSHKOSH
No 85705
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
p New
o Change
Owner FLORENCE E PETERSEN Create Date 04/23/2001
Category 612 - Residential-Single Family Addition/R Plan
o Temp Type o Overhead o Underground
Circuits Fixtures
Switches 3 Receptacles
Contractor SLIM'S ELECTRIC, INC.
Volts
Amps
Appliances
Use/Nature of SA THROOM REMODEL
Work
Fees: Valuation
Issued By: SYY\S
$500.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 05/02/2001
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
Address 2608 OAKWOOD CIRCLE
Agent/Owner
OSHKOSH
WI 54904 - 0
Telephone Number . (920) 426-5249 P 920-234
""
~~
Division of Inspection Services
2J.5 Church Avenue
P.O: Bt'lX 1.l30
Oshkosh, WI 54903-1130
Pax (920) 23'-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPL.ICATION
All information after bold categorieB muBt be provided.
Incomplete applications will not be processed.
DATB 4/29/01
JOB ADDRESS 2440 Hickory Ln.
OWNBR Flourance
CONTRACTOR Slim's Electric Inc.
CIRCLE ALL APPLlCABLB
USB CA"J.'BQORY ~NGLE FAMILYI DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE
TYPB
NO. or
AMPS
NEW
CHANGE
UNDERGROUND
SWITCHES 3
TEMPORARY
NOT APPLICABLE
OVERHEAD
FIXTURES 1
RECEPTACLES
NOT APPLlCABtlE
1
CIRCUITS
1
VOLTS
/
PHASE
CHBCIt ALL APPLICABLB
RANGE
WATER HEATER_
GARBAGE DISPOSAL_
DRYER_
DISHWASHER_
FAN OR BLOWER_
FURNACE_
A/C_
ELECTRIC SIGN_ MOTORS_ GAS PUMPS_
DBSCRIPTION OI'ALL WOK BBING DOHB Wire bathroom.
OTHER
. Submit payment with application. Failure to pay within 30 days will result in
fees being doub1ed or $100.00 plus the normal permit fee, which ever is
greater.
ligh.t fixt'U.J:") $
500.00
IIAS'r1IR .L~CJ:M