HomeMy WebLinkAbout0087377-Electric / CITY OF OSHKOSH No 87377
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1406 MONROE ST Owner PAUL D SCHWALTZ Create Date 07/10/2001
Contractor DREXLER ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances Dishwasher
Use /Nature of SFR / wire circuit and receptacle
Work
Fees: Valua ion $98.03 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: S Date 07/10/2001
0 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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number 589 -6700 - 213 -0230
(:0-1:;) Division of Inspection Services
•
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
ON THE WATER Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
, DATE — / - 5 -- 0/
JOB ADDRESS / /' �,,/�� 1 0,10woL sr &Z
OWNER 04 U R / GOB
CONTRACTOR DR C L ere ElL e c n/ C
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMIL DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT'PLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLIC'ARLR _..__ -.-
NO. OF FIXTURES SWITCHES / RECEPTACLES / CIRCUITS
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE
• 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 including light fixtures) $ hrtO 3
MASTER ELECTRICIAN /2/4 0 (-),,AP,_