HomeMy WebLinkAbout0100420-Electric (receptacles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
312-322 BROAD ST
HERITAGE ELECTRIC INC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOHN A JUNGWlRTH/JEFFREY J
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Type I~ Overhead
Circuits 0
Switches 0
No 100420
Create Date 06/21/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/312/LATE PERMIT/Add in washer and dryer recp.
Work
Fees: Valuation
Issued By:
$1 $0.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 03/26/2003
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 720 W WEILAND AVE APPLETON WI 54914 - 0 Telephone Number
(920) 734-3734
O/HKO/H
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information Lfter bold categories m~sE be provided.
Incomplete a~pplications will not be processed.
qT_..O-7 ~q' 57~q
CHECK [] ALL APPLICA'BLE
USE CATEGORY
[]Single Family
SERVICE []New
[]Change
uplex []Multi-Family
[]Temporary ~
[]Not Applicable
[]Rental []Commercial []Industrial
TYPE []Overhead [No~ Applicable
[]Underground
FILL IN THE APPROPRIATE BLkNI{ WITH THE NUMBER
Volts / Receptacles
Phase
Amps Switches #"i
Circuits
Fixtures
CHECK [] ALL APPLICABLE
[]Range
[]Fan OR Blower
[]Motors
[]Dishwasher
[]Furnace
[]Gas Pumes
[]Garbage Disposal []DRYER []Water Heater
[A/C []Electric Sign
~Other ~,~ ~k~ ~
DESCRIPTION OF ALL WORK BEING DONE
/
VALUE
(Including labor and all materials including light fixturfs) $
1
Application(s) and fee(s} can be brought to City Hall, Room 205 or mailed to
ixspecnzcn Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work
without perm~.5(s) will result in fees being doubled or $100.00 plus the normal
permit fee,OR which ever is greater ....
Check here if Zou want this processed through yo/r accoun~ []
~- ~ Electric Permit Work Card
JobAddress 312~322 BROAD ST Permit Number 0 Create Date 06/21/2002
~Owner JOHN A JUNGWIRTH/JEFFREY J Contractor HERITAGE ELECTRIC INC
Category 633 - ResidentiaI-Multi-FamilyAddition/Remodel
Service ~) New (~ Change(~) Temp · N/A I Type (~) Overhead (~ Underground · N/A
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Fee $120.00 ~ Value $0.00
Appliances
Use/Nature 5/20/02 add in washer and dryer recp.
of Work
Inspections:
Date Type Rough In Inspector Jon Fischer
6/20/02 working with out permit
Date/Time requested: 06/21/2002 08:35 AM Notice Type: __
Access:
Phone Number:
Ready Date/Time: 06/21/2002 08:35 AM Requested by:
(~ Reinspect Fee (~ Fee Wavied [] Reinspect Fee Paid