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HomeMy WebLinkAbout0099923-Electric (receptacles in basement)OSHKOSH ON THE WATER Job Address Contractor Service Volts 120 2353 COMET ST DREXLER ELECTRIC [~ New (~ Change (~ Temp Amps 15 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner DEANNE BRENNAND Category 612 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 1 Switches 1 No 99923 Create Date 02/24/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/ RENTAL/ Install outelts in basement. Work Fees: Valuation Issued By: $300.00 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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number 589-6700 Division of Inspection Services 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 Fax (920) 236-5084 Phone (920) 236-5046 b' FEB 2 7 2oo~ A TY ELECTRICAL PERMIT APPLIC Ail information after bold categories must be provided. Incomplete applications will not be processed. JOB ADDRESS CONTRACTOR c~ DATE CIRCLE ALL APPLICABLE USE CATEGORY ~UPLEX SERVICE NEW TYPE OVERHEAD NO. OF FIXTURES ~PS I ~ MULTI-FAMILY~COMMERCIAL CHANGE UNDERGROUND SWITCHES VOLTS /~ / INDUSTRIAL CHECK ALL APPLICABLE RANGE DISHWASHER ELECTRIC SIGN WATER HEATER FAN OR BLOWER MOTORS DESCRIPTION OF ALL WORK BEING DONE GARBAGE DISPOSAL FURNACE GAS PUMPS DRYER A/C OTHER 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 labor ~ ~11 materials ing~uding light fixtures) $