HomeMy WebLinkAbout0087986-Electric (a/c) ("D CITY OF OSHKOSH No 87986
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 303 SWEET ST Owner KENNETH J KRUMENAUER Create Date 08/02/2001
Contractor WERNER ELECTRIC Category 612 Residential Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 240 Circuits 1 Fixtures
Amps 20 Switches Receptacles
Appliances AC
Use /Nature of SFR/Install a 20 AMP 240 Volt circuit for AC
Work
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 08/02/2001
El 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 5667 STATE ROAD 175 OSHKOSH WI 54902 0 Telephone Number (920) 231 -7934
Division of Inspection Services "'TEY
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
OH HE WATER
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 7. 3O
JOB ADDRESS 30:3 S W c c 1 St:
OWNER 4 p I K v u kr/ en 1 IA r v
CONTRACTOR W C v yt -c v' F r c- I 1 G_
CIRCLE ALL APPLICABLE
USE CATEGORY INGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C 1
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE a 2 O 14/x? 2 Y 6 Vol f *vc. Lt.: T 'T rr'L A- C
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) .260
MASTER ELECTRICIAN C/4......../1 eAlt.x.",,,,..,