HomeMy WebLinkAbout0092542-Electric (outside light)CITY OF OSHKOSH No 92542
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 112 E IRVING AVE Owner GENE SCHMIEDEL ETAL Create Date 02/06/2002
Contractor SLIM'S ELECTRIC, INC. Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change 0 Temp Type 0 Overhead Q Underground
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use/Nature of
Work
RENTAL/
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: ~~ Date 02/06/2002
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2608 OAKWOOD CIRCLE OSHKOSH WI 54904 - 0 Telephone Number (920) 426-5249 p 920-234
Division of Inspection Services
215 Church Avenue
P.O: Box 1130
Cehkoah, NI S{903-1130
Fax (920) 136-h0'8{
Phone (920) 236-50{6
ELECTRICAL PERMIT APPLICATION
All information after bold categories ~eust be provided.
Incomplete applications will not be processed.
DDT: 02/05/02
so$ ~Dxass 112 E. Irving St.
owe Gen Schmiedel
copTRl,~-roA Slim's Electric Inc.
CIRCLE III,L APPLICABLE
IISE C7ITEQORY ~GLE FAMI DUPLEX MULTI-FAMILY RENTAL CON~KERCIAL INDUSTRIAL
SERI~ICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. 08 FiXTURBS SWITCHES RSCEPTACLE3 CIRCUITS
i1MP8 VOLTS / PxAss
CELSCK ALL JIPPLICABLH
RANGE WATBR HSATBR C3~ARBAGE DISF+C]~SAIr DRYER
DISHWASHBR FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
aascalP~IOtr os ALL Noa~ sslxa nom Add outside light-
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the norn-sl ptrmit fee, vrhich ever ie
greater.
vALIIa c:mei~sas la~bo~saa~ll .. .a~,iael iisnt tixe,~r..) ~ 300.00