HomeMy WebLinkAbout2003-ElectricOSHKOSH
ON THE WATER
Job Address 733 POWERS ST
Contractor TRUCK ELEC
Service [~ New (~ Change (~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ELIZABETH M ANDERSON ETAL
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100451
Create Date 03/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower
Use/Nature of SFR/Bath remodel.
Work
Fees: Valuation
Issued By:
$400.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 03/27/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKOdH
ON T~F VdATER
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account Svstern and have adequate £unds, check here
~f you want this processed through Four account []
JOB ADDRESS
OWNER
CHECK [] ALL APPLICABLE
UsE~GoRY
IEtSingle Family
SERVICE VINew
[3Change
V1Duplex F1Multi-Family
[]Temporary
[]Not Applicable
F1Rental
TYPE
nCommercial []IndUstrial
FlOverhead [3Not Applicable
[]Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
' [3Dishwasher [3Garbage Disposal VIDryer
Blower [3Furnace V1A/C []Electric Sign
V1Motors []Gas Pumps V1Other
DESCRIPTION OF ALL WORK BEING DONE
[3Water Heater
VALUE(Includinglaborandall~t/ii~alsincludinglig~)$ ~ ~
MASTER ELECTRICIAN///7~ ~0~. , 0 f~'
3/02