HomeMy WebLinkAbout0099959-Electric (1st floor laundry)OSHKOSH
ON THE WATER
,Job Address 1656 DELAWARE ST
Contractor DREXLER ELECTRIC
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DORIS M MITCHELL
Category 612- Residential-Single Family Addition/Ret
Amps 30
~ Temp
Type I~ Overhead
Circuits 1
Switches 0
No 99959
Create Date 02/26/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dryer
Use/Nature of SFR/Install outlet for laundry.
Work
Fees: Valuation
Issued By:
$215.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/26/2003
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
031-KOiH Fax (920) 236-5084
Phone (920) 236-5046
REC IVED
FEB 2 6 200,
DE?ARTe~ENT OF
~,O~vP,;~UNIT¥ DEVELO?W~ENT
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
CONTRACTOR O~ t~/~k~ ~C d~C77~ ~-~__
CIRCLE ALL APPLICABLE
USE CATEGORY ~ILY~DUPLEX
SERVICE NEW
TYPE OVERHEAD
NO. OF FIXTURES
~PS ~
CHANGE
MULTI-FAMILY
UNDERGROUND
SWITCHES
VOLTS /~
RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY __~PPLICABLE~
N~OTAPPLICABLE ' ~
RECEPTACLES [ CIRCUITS [
PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER/
DISHWASHER FAN OR BLOWER FURNACE__ A/C
ELECTRIC SIGN MOTORS GAS PUMPS__ OTHER
DESCRIPTION OF ALL WORK BEING DONE
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 and all materials including light fixtures) $