HomeMy WebLinkAbout0100573 EOSHKOSH
ON THE WATER
.lob Address 1191 HIGH AVE
Contractor QUALITY ELEC.
Service [~ New
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LAKEVIEW TERRACE LLC
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Amps 100
Change ~ Temp
Type I~ Overhead
Circuits 6
Switches 5
No 100573
Create Date 04/02/2003
Plan
~ Underground
Fixtures
Receptacles
7
10
Appliances Range, Garbage Disposal, Dishwasher, Fan or Blower
Use/Nature of Multi-Family/Remodel kitchen, bath, and 2 bedrooms in apt. A101, C101, B300.
Work
Fees: Valuation
Issued By:
$5,000.00 Plan Approval $0.00 Permit Fee Paid
$105.00
Date 04/02/2003
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 3754 GLENHURST LN OSHKOSH WI 54904 - 8524 Telephone Number
(920) 233-8931
OSHKOSH
ON THE WATER
Job Address 1191 HIGH AVE
Contractor QUALITY ELEC.
Service ~ New
Volts 120 / 240
Am ps 100
CITY O~F OSI~KOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LAKEVIEW TERRACE LLC
Category 633- ResidentiaI-Multi-FamilyAddition/Re
No 100573
(~) Change (~ Temp
Circuits
Switches
Create Date 04/02/2003
Plan
Type ~ Over_h_e__a_d_ ............. ~ Underground ~
8 Fixtures 7
5 Receptacles 10
Appliances Range, Garbage Disposal, Dishwasher, Fan or Blower
Use/Nature of Multi-Family/Remodel kitchen, bath, and 2 bedrooms in apt. A101, C101, B300.
Work
Fees: Valuation ~$5,000.J~
$0.00 Permit Fee Paid $105.00
[] Permit Voided
Date 04/02/2003
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
OSHKOSH WI 54904 - 8524 Telephone Number
Address 3754 GLENHURST LN (920) 233-8931
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
ON T~E W^TE~
Phone (920) 236-5046
CONTRACTOR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
SERVICE
TYPE
NO. OF
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
NEW
OVERHEAD
FIXTURES 7
CHANGE
UNDERGROUND
SWITCHES ~----
VOLTS /'2a
COMMERCIAL INDUSTRIAL
RECEPTACLES / ~ CIRCUITS
P~SE
CHECK ALL APPLICABLE
RANGE ~// WATER HEATER GARBAGE DISPOSAL ~//
DISHWASHER FAN OR BLOWER/ FURNACE
DRYER
A/C
ELECTRIC SIGN MOTORS GAS PUMPS
DESCR~PTIO~ OF ~L .ORK BE~G DOM ~¢77-- £~wA~ L
OTHER
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~ll ~materials including light fixtures)
MASTER ELECTRICIAN ~Q