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Home My WebLink About0093339-Electric (a/c)/~'; CITY OF OSHKOSH No 93339 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 713 W 17TH AVE Owner GERALD P/MARGAR BURGHAUS Create Date 04/01/2002 Contractor DREXLER ELECTRIC Category 612 -Residential-Single Family Addition/R Plan Service New 0 Change ~ Temp Type ~ Overhead ~ Underground Volts Circuits 0 Fixtures 0 Amps 0 Switches 0 Receptacles 0 Appliances Use/Nature of Work circuit for A/C unit. Fees: Valuation Issued By: ~ W~ Permit Voided Date 04/01/2002 In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date $120.00 Plan Approval $0.00 Permit Fee Paid $20.00 Agent/Owner Address 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number 589-6700 - 213-0230 Division of Inspection Services 215 Church Avenue P.O. Box 1130 n ,T ,~~i i Oshkosh, WI 54903-1130 ~~ Fax (920) 236-5084 ON THE WATER Phone (920) 236-5046 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. DATE --~° ~- b~ ~ ~" JOB ADDRESS ~ l °~ OWNER CONTRACTOR ~ ~'~ ~ X ~-E 2 CIRCLE ALL APPLICABLE l~~-f ~. USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE TYPE OVERHEAD UNDERGROUND NOT APPLICABLE NO. OF FIXTURES AMPS SWITCHES VOLTS / CHECK ALL APPLICABLE RANGE WATER HEATER DISHWASHER ELECTRIC SIGN FAN OR BLOWER MOTORS FURNACE GAS PUMPS OTHER A/C }C DESCRIPTION OF ALL WORK BEING DONE ! ~~-~ `-. ~,~': r:.< . i.? -- El < -`t • 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) $ ~:~ C1,L'~J n ( ~ MASTER ELECTRICIAN ~ l '' ~ \~~ '~ RECEPTACLES CIRCUITS PHASE GARBAGE DISPOSAL DRYER ~a.- CITY OF OSHKOSH No 93339 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 713 W 17TH AVE Owner GERALD P/MARGAR BURGHAUS Create Date 04/01/2002 Contractor DREXLER ELECTRIC Category 612 -Residential-Single Family Addition/R Plan Service New ~ Change ~ Temp Type ~ Overhead ~ Underground Volts Circuits 0 Fixtures 0 Amps 0 Switches 0 Receptacles 0 Appliances Use/Nature of Work Fees: Valuation $120.00 Plan Approval $0.00 Permit Fee Paid $20.00 Issued By: I~,YV\ T Date 04/01/2002 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Address 490 COUNTY ROAD FF Agent/Owner PICKETT WI 54964 - 0 Telephone Number 589-6700 - 213-0230 Division of inspection Services 215 Church Avenue P.O. Sox 11 30 Oshkosh, WI 54903-1130 Fax (920) 236-5084 ON THE WATER phone (920) 236-5046 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. DATE ~ ~ b' v JOB ADDRESS ~ 1 ~ ~" ` ,~ ~ ~ ~~ OWNER CONTRACTOR ~ 2 ~ X lE 2 ~ l-~z~'-(~C- CIRCLE ALL APPLICABLE IISE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL SERVICE NEW TYPE OVERHEAD NO. OF FIXTURES AMPS CHANGE UNDERGROUND SWITCHES VOLTS / CHECK ALL APPLICABLE RANGE WATER HEATER DISHWASHER ELECTRIC SIGN FAN OR BLOWER MOTORS FURNACE GAS PUMPS OTHER A/C~ DESCRIPTION OF ALL WORK BEING DONE ~JJS~IA-~-C ~ i YZC'.J rt ~ ~C- F~-C V ~~ ~~" • 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. VALIIE (Including labor and all materials including light fixtures) $ ~ a-~~ ~ J MASTER BLSCTRICIAN~ `''• TEMPORARY NOT APPLICABLE NOT APPLICABLE RECEPTACLES CIRCUITS PHASE GARBAGE DISPOSAL DRYER 2 0.