HomeMy WebLinkAbout2001-Electric CITY OF OSHKOSH No 91847
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1797 RIVER MILL RD Owner THOMAS W /SUSAN PEOTTER Create Date 11/09/2001
Contractor KRUEGER ELECTRIC INC. Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 2 Fixtures 3
Amps Switches 4 Receptacles 8
Appliances
Use /Nature of SFR/ Wiring for 16x24 addition.
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Issued By: Date 12/17/2001
❑ 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 1409 VANDENBROECK RD LITTLE CHUTE WI 54140 - 0 Telephone Number (920) 788 -7118
(;;;) Division of Inspection Services
215 Church Avenue
P.O. Box 1130
iSG1 OJl i Oshkosh, WI 54903 -1130
Fax (920) 236 -5094
ON THE WATER Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE /
JOB ADDRESS 17 cJ 7 1` v ef' m II e .
OWNER No f Gc zit; 1 a5kQ_
CONTRACTOR W o r t F 11 ut, I CSC c_r_s
CIRCLE ALL APPLICABLE
USE CATEGORY (INGLE FAMILY' DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABL
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES 3 SWITCHES 7" RECEPTACLES e CIRCUITS
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE 1<6 v a y 1q d d; j' r\
• 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 labor and all materials including light fixtures) $ /000. O D
MASTER ELECTRICIAN (