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0100590-Electric
OSHKOSH ON THE WATER Job Address Contractor Service Volts 2458 HICKORY LN SECKAR ELECTRIC [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner DANIEL C/LEEANN MORRILL Category 812 - Residential-Single Family Addition/Ret Type I~ Overhead Circuits 0 Switches 0 No 100590 Create Date 01/15/2003 Plan ~ Underground Fixtures Receptacles Appliances Furnace & Dryer. Use/Nature of SFR/ 200amp underground service, upstairs & garage addition...lst floor laundry. Work Fees: Valuation Issued By: $8,000.00 Plan Approval $0.00 Permit Fee Paid $120.00 Date 04/03/2003 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 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 - 0 Telephone Number (920) 582-4909 FROi'fL: CiW of Oshkosh Division of Inspection Services · .P.O. Box 1130 O~hkosk WI 54903-1130 Phoh~ (920)236-$050. Fax (920) 236-508~ FAX NO. : Oct. 23 2~02 03:34AM P2 ELECTRICAL PERMIT APPLICATION Ali information after bold categories must be provided. Incomplete applications will not be processed. ©J'HKOJ'H ON THF Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspgc~ion Services, PO Box 1125, Oshkosh WI $4903-I 128. Commencing work without permit(s)will r~sult in fees being doubled or $100.00 plus the normal permii fee, wl/ich ev~' is greater. · OR . lf'Egu are a gontractor partlcipating in the~¢rmi$ Fee Account System and have ~dequare funds._c_h_eek here you want this proce.,~$~d through your afcount~ 'JOB ADDRESS '~ ~ ~L ~PLIC. BLR '" · c, Uoa ' ~Sing!e F~ily, O~plox mMuhi-Family s~a~ ~N~ . ~~ ~Not A~licable ~iLL.m ~ ~PROP~ BL~K ~T~ ~ ~~ ' VlRental TYPE Receptacles #,,, S~vitches # ITIGarbagc Disposal EIA/C OOth~r Volts / .Phase ' Amps . 'CHReK [~ ALL AppLIcABLE,,' VIRange. DDishwasher ' FIFan OR Blower .~~e , VIMot0rs ' - UlOas Pumps. DEscRIPTiON Or ALL woRK BEING DONE DCommercial Ellndustrial ElOverhead ONot Applicable ~nderground ' ~Dry~ r'lWaler Heater c Sign · VALUE. iln¢luding labor,and ali ma~rtsliinclud~j~ng light fixtures) MASTER ELECTRIcIAN '~l'~ ~.~t/L .....