HomeMy WebLinkAbout0095047-Electric (misc.) 411 CITY OF OSHKOSH No 95047
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1130 SAWTELL CT Owner MICHAEL/SANDRA KRITZ Create Date 05/24/2002
Contractor ENCOMPASS ELECTRICAL TECHNOLO Category 612 Residential Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type O Overhead O Underground
Volts Circuits 0 Fixtures 2
Amps 0 Switches 3 Receptacles 6
Appliances
Use /Nature of SFR/ Install (3) s/p switches, (3) floor recpts, (1) wall recpt, (1) post light connection within 5' of room, (1) fan /light connection in
Work wiremold, (1) w/p recpt and (1) 20A 120V basement recpt within 10' of panel for table saw. *Job #35533
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Issued By: rn Date 06/11/2002
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2662 AMERICAN DR PO BOX 627 APPLETON WI 54912 627 Telephone Number (920) 225 -6507
08/07/2002 FRI 11:41 FAX IJ001 /001
Ptk 71P 35S33
Division of TASpeCtion Bervicea
215 Church Avenue
P.O. 4Cx 1130
Oshkosh, ill 54903 1130
Fax 920) 236-6044
NeitS6 �A �t 4 4 f awl- 1 c &I
Phone (920) 236 -5046
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
incomplete applications will not be processed.
DATE /0/7/46>-•
JOB ADDRESS 1136 u141! I I
OWNER Mi f t Kh ?t
CONTRACTOR g 6I CO14994 S$
CIRCLE ALL APPLICABLE
uaE CATEGORY SINGL 'AMIL DUPLEX MULTI FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY OT PLCABLE22,
TIPS OVERHEAD UNDERGROUND PPLICA
NO. OF FIXTURES L SWITCHES 3 RECEPTACLES 0 CIRCUITS
AMPS VOLTS PEASE
CEECX ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE f �J 5 S l 3 g 0 r''" r
0 4 r I e .40 /14 k .,.AY 0 0.4 1. V
0 Is L i t 0 Iii rs 04
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 aatcrials including light fixtures) lret)n.oa
la wns B I= ?crw^. 0DD