HomeMy WebLinkAbout0100175-Electric (switches)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
653 MOUNT VERNON ST
TRUCK ELEC
[~ New (~) Change (~) Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CHERYL L SAWITSKI
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 3
No 100175
Create Date 03/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Water Heater.
Use/Nature of RENTAL/Water heater connection. Add wall switches in bedrooms.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 03/12/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
O~--~O~ Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
VED
F/AR 2 2003
D£PART~E~T OF'
ELECTRTCAL PERMTT APPLTCATZD~r' D[ /LOP E T
All information after bold categories must be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
DATE ~fl~ ~ O~-~'
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
S ERVI CE NEW CHANGE TEMPORARY
NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND
NOT APPLICABLE
NO. OF FIXTURES SWITCHES ~ RECEPTACLES }
A/~PS VOLTS / PHASE
CIRCUITS
CHECK ALL APPLICABLE
RANGE WATER HEATER / GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE
ELECTRIC SIGN MOTORS 'GAS PUMPS OTHER
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 1 11 mater ding light fixtures)