HomeMy WebLinkAbout0100236-Electric (repair service)OSHKOSH
ON THE WATER
.lob Address 1204 CEAPE AVE
Contractor SECKAR ELECTRIC
Service [~ New O Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner STEVEN R WESENBERG
Category 634- Residential-Service Change
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100236
Create Date 03/17/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/RENTAL/Repair electric service.
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 Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THF WATER
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
I£¥ou are a contractor participating in the Perrnz~ F,~e Account System and have adequate funds, check here
if you want this processed through your account~'
JOB Dm SS
OWNER
CONTRACTOR ~--(-"f~/~ g~t..~c~ [C C 0
DATE/~ ~H [7~ZOo,~
CHECK [] ALL APPLICABLE
USE CATEGORY ~up
IZlSingle Family lex FIMulti-Family
SERVICE F1New F1Temporary
F1Change F1Not Applicable
FILL IN THE APPROPRIATE BLANK VOTlt THE NUMBER
~ental DCommercial IZilndustrial
TYPE ~('~erhead IZlNot Applicable
r-lUnderground
Volts I S0 / ~q O Receptacles #
Phase I
Amps ~_O O Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range []Dishwasher DGarbage Disposal
FIFan OR Blower []Furnace []A/C
I-1Motors I'-lGas Pumps I-1Other
DESCRIPTION OF ALL WORK BEING DONE
IZlDryer FlWater Heater
r'lElectric Sign
VALUE (Including labor and all materials~cluding light fixtures) $
MASTER ,LECTRICIAN CX
~00. o o