HomeMy WebLinkAbout0099911-Electric (blower)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
519 OAK ST
ENTERPRISE ELECTRIC, INC.
I~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner EARL F HEPHNER
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 1
No 99911
Create Date 02/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/120V circuit for fireplace blower.
Work
Fees: Valuation
Issued By:
$150.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/24/2003
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 1039 DRIESSEN DR KAUKUANA WI 54130 - 0 Telephone Number
(920) 766-1995
OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
Amps
Appliances
519 OAK ST
ENTERPRISE ELECTRIC, INC.
~ New O Change
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner EARL F HEPHNER
Category 612 - Residential-Single Family Addition/R
(~) Temp I Type O Overhead
0
Fan or Blower
Circuits 1
Switches 1
No 99911
Create Date 02/21/2003
Plan
(~ Underground
Fixtures
Receptacles
Use/Nature of ISFP,/120V circuit for fireplace blower.
Work-
Issued By: ~',,~¥ \
Permit Fee Paid $20.00
[] Permit ¥oided
Date 02/24/2003
In the perforrr}ance of this WOrk I agree to perform all work pursuant to rules governing the described construction.
Signature ! ~ Date
· Agent/Owner
Address 1039 DP, lESSEN DR KAUKUANA WI 54130 - 0 Telephone Number
(920) 766-1995
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Ouhkosh, 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.
Jos ~u~o~sss D%q 0~%'
COSTRACTOR ~,:%. e.~,~r~.~,: ~ e~'~ c ~'~ ~:
CHECK ~] ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE ONew
[]Change
QDuplex DMulti-Family
DTemporary
~Not Applicable
DRental DCommercial []Industrial
TYPE DOverhead ~Not Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /~O Receptacles
Phase /~
Amps oW Switches #
Circuits #., !
Fixtures #
CHECK ~ ALL APPLICABLE
[]Range
~Fan OR Blower
~Mo[ors
~Dishwasher
~Furnace
~Gas Pumps
~Garbage Disposal
OA/C
~Other
DDRYER ~Water Heater
~Electric Sign
DESCRIPTION OF ALL WORK BEING DONE
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to
Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work
without permit(s) will result in fees being doubled or $100.00 plus the normal
permit fee, which ever is greater.
OR
Check here if you want this processed throuqh your accoun! []
VALUE (Including labor and all materials including light fixtures)
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