HomeMy WebLinkAbout0094082-Electric (bath remodel & misc.) CITY OF OSHKOSH No94082
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 344 SARATOGA AVE Owner RICHARD K MYERS Create Date 05/03/2002
Contractor SECKAR ELECTRIC Category 623 Residential Duplex Addition /Remode Plan
Service Q New Q Change Q Temp Type Q Overhead 0 Underground
Volts Circuits 2 Fixtures 2
Amps 0 Switches 4 Receptacles 2
Appliances Fan or Blower, Furnace NC
Use /Nature of DUPLEX/ A/C, fumace bathroom remodel for each apt.
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: VYV' Date 05/03/2002
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 ROAD WINNECONNE WI 54986 0 Tell phone Number (920) 582 -4909 M 379 -68;
FROM SECKAR ELECTRIC FAX NO. 9202313950 May. 03 2002 11:07AM P1
Division at Inspection Services
21S Church Avenue
P.O. Sox 1130
•,M igga OeAkpsh, Mx 94903 -1130
A tdx 1920) 236 -5094
phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories Brat be provided.
Incomplete applications will not be processed.
DATEM kI 1 Zoo 2.
Jos ADDRESS SA1-Xi c
COIITRACI'0a ZS tt kJe tlez-Ve IC CO. j N G.
CIRCLE ALL APPLICABLE
ass vl?EOO&Y SINGLE FAMILY DLIPE.IPX MULTI PAMILY RENT L COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TIPS OVERHEAD UNDERGROUND NOT APPLICABLE
N0. OT FIXTURES 4 2 SWITCHES 4 RECEPTACLES a CIRCUITS 2
AMPS VOLTS PHASE
CHICK ALL APPLZCABLR3
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWBR)L FURNAC E_X A/CX
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DEYCRZPT.ION 01 ALL WORK BRING Dpi�RS /c.�_ i�. Aii.g Ieoo/{'l e
e 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.
Kase Delg I r PI ftcr=
VALUE (Including i r and all materials including light liztusee) 0ZD0.
at
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