HomeMy WebLinkAbout0100322-ElectricOSHKOSH
ON THE WATER
CITY (~F'OS~IKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Amps 0 Switches 0
No 100322
Job Address 349 BOWEN ST Owner ALAN L/KAY M STENERSON Create Date 11/25/2002
Contractor B.Q. ELECTRIC SERVICES Category 612 - Residential-Single Family Addition/R Plan
Service ~ New O Change O Temp I Type (~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Receptacles
Appliances
Use/Nature of ~FR/ LATE PERMIT/ Adding a 23' - 8" x 28' - 2" 2nd floor addition to an existing single stow home. Adding 3 bedrooms in new
Work ~ddition, removing I bedroom on 1st floor, adding 1 full bathroom.* Remodle due to fire.
Fees: Valuation
Issued By: j/l~
$3,098.00 Plan Approval $0.00 Permit Fee Paid $190.00
Date 03/21/2003
[] Permit Voided
In the performance of this wor~lagre .e to~.peflor~ all workpu rs uant to rul es goveming the described construction.
Signature :~,~ ./~"/.~ Date
/ '-¢// ¢ AgenVOwner
Address 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
3-2 i--
(920) 233-9005
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 THF
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 Cit~ 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 $1.00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
'.~ingle Family I-1Duplex nMulti-Family
SERVICE nNew I-lTemporary
nChange ' F1Not Applicable
FIRental
TYPE
nCommercial nlndustrial
[3Overhead l-INot Applicable
nUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures # · ·
CHECK [] ALL APPLICABLE
UlRange nDishwasher [2]Garbage Disposal F1Dryer
IZIFan OR Blower IZIFurnace r-IA/C F1Electric Sign
F-1Motors 12Gas Pumps ~X[Other
DESCRIPTION OF ALL WORK BEING DONE
F'lWater Heater
VALUE (Including labor and ~//~/ials i~, ' ~ures) $ d% OC~ o (....~)
3/02