HomeMy WebLinkAbout0087287-Electric (a/c) I CITY OF OSHKOSH No 87287
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1610 INDIGO DR Owner PAUL MUELLER Create Date 07/05/2001
Contractor DREXLER ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service p New O Change O Temp Type 0 Overhead 0 Underground
Volts Circuits
Fixtures
Amps Switches Receptacles
Appliances A/C
Use /Nature of SFR / WIRE CIRCUIT FOR NC
Work
Fees: Valuation $130.00 Plan Approval $0.00 Permit Fee Paid $20.00
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Issued By: Y , ` Date 07/05/2001
❑ 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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number 589 -6700 - 213 -0230
c Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh. WI 54903 -1130
Fax (920) 236 -5084
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 7-0 - 0/
JOB ADDRESS /1/0 h- 0 /8D
OWNER
CONTRACTOR " `2 1°)eC_ /:--': _ 67 FC i 7 ,'
CIRCLE ALL APPLICABLE
USE CATEGOR S INGLE FAMILY MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES 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 C 2.C..ci /../
• 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) $ 1 3 0 ' D '
MASTER ELECTRICIAN \)
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