HomeMy WebLinkAbout0100301 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2815 NEWPORT AVE
ACTION ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROBERT M/PAMELA STUEBER
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 4
No 100301
Create Date 03/20/2003
Plan
~ Underground
Fixtures
Receptacles
14
12
Appliances
Use/Nature of SFR/Wire new family room in basement.
Work
Fees: Valuation
Issued By:
$2,000.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 03/20/2003
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 W1906 COUNTY TKJJ KAUKAUNA WI 54130 - 9417 Telephone Number
(920) 788-4020 M 585-40(
OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
2815 NEWPORT AVE Owner ROBERT M/PAMELA STUEBER
ACTION ELECTRIC Category 612- Residential-Single Family Addition/R
~ New O Change O Temp I Type ~ Overhead
Circuits 2
Amps 0 Switches 4
No 100301
Create Date 03~20~2003
Plan
_~_ Underground
Fixtures 14
Receptacles 12
Appliances
Use/Nature of SFR/Wire new family room in basement.
Work
Fees: $0.00
Valuation $2_000.00 A Plan Approval
IssuedB,:~~~~,~
[] Permit Voided
Permit Fee Paid $60.00
Date 03/20/2003
In the performance of this work I agree to perform all work pursuant to rules governing the described construction,
Signature Date
Agent/Owner
Address W1906 COUNTY TK JJ KAUKAUNA WI 54130 - 9417 Telephone Number
(920) 788-4020 M 585-40
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON 'rHF W^TER
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account Svstern and have adequate funds, check here
if you want this processed through your account []
JOB ADDRESS
OWNER
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
~$ingle Family F1Duplex
I-1Multi-Family
EIRental
SERVICE DNew nTemporary TYPE
[3Change EINot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles
Phase
Amps Switches #
F1Commercial Ellndustrial
I-IOverhead
I-IUnderground
"'
DNot Applicable
Circuits #
Fixtures fl
CHECK [] ALL APPLICABLE
[2Range ElDishwasher [2Garbage Disposal
F1Fan OR Blower EIFurnace FIMC
[]Motors I"lGas Pumps F1Other
[2Dryer
FIElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
ElWater Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN ~~ d4~ b,r r~
3/02