HomeMy WebLinkAbout0095395-Electric/~'~ CITY OF OSHKOSH No 95395
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 973 COZY LN Owner DAN & MARSHA HAWE Create Date 02/13/2002
Contractor J.A.W.S. ELECTRIC Category 612 -Residential-Single Family Addition/R Plan
Service New ~ Change ~ Temp Type ~ Overhead ~ Underground
Volts 120 / 240 Circuits 15 Fixtures 10
Amps 100 Switches 20 Receptacles 40
Appliances
Use/Nature of
Work
or Blower,
Fees: Valuation
Issued By: (~/
Plan Approval $0.00 Permit Fee Paid $60.00
Permit Voided
Date 06/24/2002
In the performance this work
Signature ('~ ~
Address POSOX 141
to perform all work pursuant to rules governing the described construction.
AgenUOwner
VAN DYNE WI 54979 - 141
Date q O~
Telephone Number (920) 688-2477
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084
~KOlH
ON THE \NATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• 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
If you are a contractor participating in the Permit Fee Account Svstem and have adequate funds check here
if you want this processed through your account ^
DATE ~~ Z ~ ~ O Z
JOB ADDRESS ~, 3 Cy 2 Y ~~
OWNER ~ ~ `l ~'il fl ~ ~
CONTRACTOR _ S . ~.. "J \ $ ~ ~C
CHECK ~ ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
Change ^Not Applicable
^Rental ^Commercial ^Industrial
TYPE Overhead ^Not Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~Z~ / 2~q Receptacles # ~~ Circuits #
Phase / Cb
Amps / CY7 Switches # 20 Fixtures #~_
CHECK fi~1 ALL APPLICABLE
1~Range ^Dishwasher ~1Garbage Disposal ~`IDryer ^Water Heater
161Fan OR Blower 1~Furnace ~lA/C ^Electric Sign
^Motors ^Gas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE ~omPC ~ ~~.~c . R~ rrlo ~~Z O~^
S~~>bz~" ~~-~ - w~~L-n~
~-F-r~R~~ Ri~C ~3NC1~ ~c~ ur~~vc ~<~1
VALUE (Including labor and all materials including light fixtures) $ 2 ~~
MASTER ELECTRICIAN
3/02
Electric Permit Work Card
Job Address 973 COZY LN Permit Number 95395 Create Date 02/13/2002
Chnrner DAN & MARSHA HAWE Contractor J.A.W.S. ELECTRIC
Category 612 -Residential-Single Family Addition/Remodel
Service New ~ Change Q Temp Q N/A Type ~ Overhead Q Underground ~ N/A
Volts 120 / 240 Circuits 15 Fixtures 10
Amps 100 Switches 20 Receptacles 40
Fee $60.00 ^ Value $2,000.00
Appliances ange, Fan or Blower, Dumace, Garbage Disposal, A/C, Dryer
Use/Nature FR/Complete elec. remodel
of Work
rnspectrons:
Date 06/26/2002 Type Rough In Inspector Jon Fischer approved
request -request written on permit application.
Datemme requested: 06/24/2002 02:00 PM
Access:
bads door unlocked
Notice Type: Phone Number:
Ready DatelTime: 06!26/2002 07:30 AM Requested by: J.A.W.S. ELECTRIGJohn
Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid
------------------------------------------------------ - ----- ---- -
Date Type Service Inspector Jon Fischer
7/26/02 approved
7/26/02 called in
7/29/02 mailed in
Datemme requested: 07/26/2002 08:30 AM Notice Type: _ Phone Number
Access:
Ready Datemme: 07/26/2002 08:30 AM Requested by: J.A.W.S. ELECTRIC
Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid