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HomeMy WebLinkAbout2003-Electric (garage)OSHKOSH ON THE WATER Job Address Contractor Service Volts 935 ADAMS AVE SECKAR ELECTRIC [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner TODD M/CARLA M HAIDLINGER Category 812 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 2 Switches 1 No 100237 Create Date 03/17/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/Install 4 recps and 4 lights in the basement. Install 4 recps and 3 lights in the garage. Work Fees: Valuation Issued By: $500.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 03/17/2003 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 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 - 0 Telephone Number (920) 582-4909 .. City'of O~l~kosh ' ' .... ·. Division of Inspection Services P.O. Box 1130 Osltkosh, Wl 549034130 ' · Phone (920) · Fax (920) 236-5084, FAX NO. : Oct. 05 L:~3~2 10: l:Y~qM Pi ELECTRICAL PERMIT APPUCATION All infoimation after bold categories must be provided. Incomplete applicatio~ will not be processed. "0" ~tPplic~ti0nis) a~d fee(S} 'can'be brousht to City Hall, Room 205 or mai]ed to Inspection Services, PO Box 1i28, Oshkosh WI 54903-1128. Commencing work without permit(s) will'result in fees being doubled or $100.00 plus the OR, l~ vou.a~r_~ a c'ontr'~¢tor participating in the I>er_~_'_~ee Account S_pstem and have..adeau.a..re .funds. check here if You want th~s ~ro'cessed throui,h your aCc°~' Volts / Pha~e Amps '.' cn CK Pt.lC. X DRnnge EIFnn OR Blower OFumace ~Motors EIC~ Pumps Receptacles # · ~ Switches EIGarbage Disposal r'IA/C 1:3Other EICommereial Ellndustrial l:lOvethead ~t Appl/cable E:IUnderground Circuits Fixtures DDryer [::)Water Heater EIElecirie Sign 3/02