HomeMy WebLinkAbout0088150-Electric
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OSHKOSH
ON THE WATER
Job Address 3300 HARBOR BAY RD
CITY OF OSHKOSH
No 88150
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
RICHARD & PATRICIA BRAUSCH
Create Date 07/31/2001
Contractor
SECKAR ELECTRIC
Category 611 - Residential-New Single Family Wirin Plan
Service . New
Volts 120/240
o Change
o Temp
Type 0 Overhead
. Underground
Circuits
Fixtures
Amps
200
Switches
Receptacles
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Furnace, AlC
Use/Nature of NSFR
Work
Fees: Valuation
Issued By: /'
$9,250.00
Plan Approval
$0.00
Permit Fee Paid
$180.00
Date 08/08/2001
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
Agent/Owner
Oshkosh
Address
WI 54901 - 0
Telephone Number 231-4708
~
OJHKOfH
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 APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE Ju L'1 I (p, Zo'O J
JOB ADDRESS (5500
OWNER~lcJ-IA~() +
CONTRACTOR Se:-c.-tlh€
HkRt0d2 ~M
PA.-r g~AA sel--l
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CIRCLE ALL APPLICABLE
USE CATEGORY ~Gi;-F~ DUPLEX MULTI-FAMILY
SERVICE ~ CHANGE
TYPE OVERHEAD ~GR~
NO. OF FIXTURES v/" SWITCHES
RENTAL
COMMERCIAL
INDUSTRIAL
TEMPORARY
NOT APPLICABLE
NOT APPLICABLE
~ECEPTACLES ~
CIRCUITS ~
AMPS .2-00
VOLTS /2..0 / Z-YO
PHASE
I
CHECK ALL APPLICABLE
RANGE
/
WATER HEATER
GARBAGE DISPOSAL
J
DRYER /
A/C-'/
DISHWASHER
v
FAN OR BLOWER
FURNACE~
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE AJtZAJ
HOJSE
. 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 lab
including light fixtures) $ 12-~O, 0 0
MASTER ELECTRICIAN