HomeMy WebLinkAbout0100555 EOSHKOSH
ON THE WATER
.lob Address 901 JACKSON ST
Contractor A & S ELECTRIC LLC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner D & M RENTALS LLC
Category 621 - Residential-New Duplex Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 20
Switches 57
No 100555
Create Date 03/05/2003
Plan
~ Underground
Fixtures
Receptacles
25
94
Appliances Range, Dishwasher, Fan or Blower, Garbage Disposal, Furnace, Dryer & A/C.
Use/Nature of New Duplex/ 2 story upper/lower.
Work
Fees: Valuation
Issued By:
$7,800.00 Plan Approval
$0.00 Permit Fee Paid
$150.00
Date 04/01/2003
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 1008 W NORTH AVE LITTLE CHUTE WI 54140 - 0 Telephone Number
(920) 788-6650
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
FaX (920) 236-5084
Phone (920) 236-5046
JOB ADDRESS
CONTI~CTOR
information after bold categories
All Incomplete applications will not be processe~.
CIRCLE ALL APPLICABLE
USE CATEGORY
SERVICE ~
TYPE ~
No. OF FIXTURES mE
SINGLE FAMILY ~ MULTI-FAMILY ~ COMMERCIAL
CHANGE
UNDERGROUND
SWITCHES ~ ?
VOLTS /~f~ /__~_~
INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES ~y CIRCUITS ~
PHASE / ,ar'
CHECK ALL APPLICABLE
RANGE ~' WATER HEATER
DISHWASHER ~" FAN OR BLOWER__
ELECTRIC SIGN MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSALb/
a/ FURNACE
GAS PUMPS
~,-
OTHER
DRYER Aw
A/C ~
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 includlng light fixtures) $