HomeMy WebLinkAbout0099864-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
547 EVANS ST
SCHAFER ELECTRIC INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARK P/SHARON RADLEY
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 4
No 99864
Create Date 02/11/2003
Plan
~ Underground
Fixtures
Receptacles
10
7
Appliances Dishwasher & Garbage Disposal.
Use/Nature of SFR/ LATE PERMIT/Remodeling kitchen. *Late fee waived - Notified next time it will not be.
Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval $0.00 Permit Fee Paid
$60.00
Date 02/18/2003
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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
(920) 725-2031 M 585-31
· Cit~ of Oshkosh
Division of Inspection Services
P.O. Box 1130
OshkOsh, WI 54903-1130
?~one (920) 236-5050
Fax (920)236-5084
ELECTRICAL PERMIT 9
' All information after bold categories rn~ugs~'rf~'eqifled.
' Incomplete applications will not be p~_~,, ~ .
* Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to In~¢~t}.~,~'ervices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees b~'~.ubled or $100.00 plus the
fee, which ever is greater.
normal permit ' - ~/V~' ' .
OR
~f. you are a contractor participating in the Permit Fee Account System and have adequate _funds, check here
if you want this procexsed through your account []
!
C][ECK [] ALL APPLICABLE
DATE cS- ! ~-O _'4
8in CATEGORY
gl¢ Family l-lDuplex F1Mulfi-Family F1Rental
SERVICE E]New F1Te~mPorary TYPE
F1Change ~31q~ot Applicable
I-ICommercial Fllndustrial
FIOverhead EIN°t Applicable
FIUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles
Phase
Switches #
Amps-
Circuits # ; ,
Fixtures # / O
CI-IECK [] ALL APPLICABLE
U[Range ~ishwasher [2~arbage Disposal
FIFan OR Blower ElFurnace F1A/C
I-lMotors FIGas Pumps [3Other
FIDryer
I"iElectric Sign
DESCRIPTION OF ALL woRK BEING DONE
FlWaterHeater
VALUE (Including labor and all materials includi, ng ~ght fixtures) $
MASTER ELECTRICIAN
/,S'~'O · t-o
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