HomeMy WebLinkAbout0098667-Electric 0 CITY OF OSHKOSH No98667
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 750 WEATHERSTONE DR Owner FOX CITIES CONSTRUCTION Create Date 11/18/2002
Contractor SCHAFER ELECTRIC INC Category 611 - Residential -New Single Family Wirin Plan
Service p New O Change 0 Temp Type 4 Overhead 0 Underground
Volts 120 / 240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Appliances Range, Fan or Blower, Dishwasher, Furnace, Garbage Disposal, NC, Dryer
Use /Nature of NSFR
Work
Fees: Valuation $4,700.00 Plan Approval $0.00 Permit Fee Paid $105.00
Issued By: ii, Date 11/18/2002
❑ 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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number (920) 725 -2031 M 585-3'
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
None (920) 236 -5050
Fax (920) 236 -5084 o" KO.JH
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
Ifvou are a contractor Pirticipatine in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account 0
DATE /I- /s - 4
JOB ADDRESS 7 5 Gi? e447 A.
OWNER fib a Cam•
CONTRACTOR 11.1
CHECK H ALL APPLICABLE
US CATEGORY
Ingle Family °Duplex °Multi Family ORental °Commercial [Industrial
SERVICE JaFiew °Temporary TYPE DOverhead °Not Applicable
°Change °Not Applicable _'underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / 2-0 1 Yo Receptacles # Circuits #
Phase /
Maps- o200 Switches # Fixtures #
CHECK HALL APPLICABLE
• ge Dishwasher Z rbage Disposal ,0 yer OWater Heater
an OR Blower , urnace C ['Electric Sign
DMotors CI Gas Pumps °Other
DESCRIPTION OF ALL WORK BEING DONE 1A)JAA.A.7 e l LiAr.
VALUE (Including labor and all materials including light fixtures) $ 3/70D• 0 a ,�k / O S �
MASTER ELECTRICIAN (;:),64-11.1Z
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