HomeMy WebLinkAbout0100621 EOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
JobAddress 2371 2375 PATRIOT LN Owner
Contractor SCHAFER ELECTRIC INC Category 623- ResidentiaI-DuplexAddition/Remodel
Service [~ New (~) Change (~) Temp Type I~ Overhead
Volts Circuits 5
Switches
Amps 0 8
No 100621
Create Date 02/07/2003
Plan
Underground
Fixtures
Receptacles
24
Appliances
Use/Nature of Duplex- 2375 side only/Finish basement to include rec. room, full bathroom, bedroom / office, wardrobe closet and to storage areas.
Work
Fees: Valuation
Issued By:
$1,850.00 Plan Approval $0.00 Permit Fee Paid $60.00
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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
(920) 725-2031 M 585-31
Cfty of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
]Fax
ELECTRICAL PERMIT APP I
. Incomplete applica~ons ~I1 not"~~'~/~f 0~ '
Applica~on(s) and fee(s) can be brouBht to Ci~ Hall, Koom 205 or ~ilcd to ~specfion Semi,es, PO Box 1128,
Oshkosh ~ 54903-1128. Commencing work ~ithout pe~it(s) ~lJ result in fees being doubled or $100.00 plus the
nora1 pe~it fee, which ever is ~eater..
OR
i[ Fou are a contractor participatin~ in the Permit Fee ~ocouNt SWtem and have adequate funds, check here
Fo~ want this processed through Four account ~
CONTRACTOR J/./~..~.~.....~-
CHI*.CK [] ALL APPLICABLE
DATE
USE CATEGORY
J2lSingle Family I-1Duplex
VIMulti.-Famiiy
SERVICE i-lNew
I-IChange
F1Temporary
.l~YNot Applicable
VlRental
TYPE
V1Commercial Vllndustrial
[] Overhead ~ Applicable
[]Underground
FILL IN TI~. APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # o~ ~/
Phase
Amps- ' Switches # (~
Circuits # ~
Fixtures # /tO --
CHECK [] ALL APpLICABLE
[]Range •Dishwasher •Garbage Disposal FIDryer
[-IFan OR Blower []Furnace VIA/C F1Electric Sign
[]Motors F1Gas Pumps IZlOther
DESCRIPTION OF ALL woRK BEING DONE
FlWater Heater
'VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN
3102