HomeMy WebLinkAbout0095155-Electric (basement wiring) CITY OF OSHKOSH No95155
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1724 SKYVIEW AVE Owner CHRIS R/DANNA L CARPENTER Create Date 06/14/2002
Contractor WITZKE ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 1 Fixtures 3
Amps 0 Switches 0 Receptacles 0
Appliances
Use /Nature of SFR/ Basement lights & fountain wiring.
Work
Fees: Valuation $460.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 06/14/2002
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 PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number 920 - 235 -6572
City of Oshkosh
•
Division of Inspection Services
P.O. Box 1130
-
Oshkosh, WI 1 5 54903 -1130
CAI
Phone (920) 236-5050 _
Fax (920) 236 -5084 O.IHKOJH
ON THE 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
If you are a contractor participatinz in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ❑ /
DATE /O /3'0A
JOB ADDRESS �y 07a V sky % AV �r�
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OWNER � J r/S d ,OP,7i
VV
CONTRACTOR 1 + 2 . 1 < e , E i f r i c �n C.
CHECK El ALL APPLICABLE
E CATEGORY
Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead , Not Applicable
❑Change Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER •
Volts / Receptacles # ( Circuits #
Phase
Amps Switches # / Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ,6�s' 0,/y�0 // `1 A 6/AA j(ij)7//)
/.j/ -tn 9
VALUE (Including labor and all mat riaq incl ng li fixtures) $ 74 °' °6
MASTER ELECTRICIAN i,
,
c 3/02