HomeMy WebLinkAbout0100080 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
720 W LINCOLN AVE
B. Q. ELECTRIC SERVICES
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner C M C MOKLER PROPERTIES LL
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100080
Create Date 03/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ RENTAL/ Remodel, demoing some old electric in the way - replace or repair some electric upon remodel finish.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 03/05/2003
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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
(920) 233-9005
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
HAR 0 5
ENT OF
All information after bold categories must be provided.
Incomplete applications will not be processed.
O_/HKO_/H
ON THE \.VATER
Application(s) and fee(s) can be brought to Cit~ 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 $1.00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JOBADDRESS~ c~O ~-'/~~
CHECK [] ALL APPLICABLE
USE CATEGORY
t2~Single Family nDuplex [:lMulti-Family ~lRental
SERVICE FtNew FlTemporary TYPE
[2Change 'nNot Applicable
FICommercial F'llndustrial
[]Overhead []Not Applicable
[]Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[] Range []Dishwasher
[]Fan OR Blower F1Furnace
IZIMotors I-IGas Pumps
[]Garbage Disposal
[]A/C
[~,Other
[]Dryer []Water Heater
[]Electric Sign.
DESCRIPTION OF ALL WORK BEING DONE F'e_J/D~5~ tQ~ ~ (5{ ~9.,D~O;nc-q 3Cf)q/; old
VALUE (Including labor and/~~i~ls includi, g.ng.l~t fixtures)$ '2 (-00o O0
3/02