HomeMy WebLinkAbout0089572-Electric (furnace & a/c) CITY OF OSHKOSH No 89572
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1931 MINNESOTA ST Owner CLARENCE M SCHMIDT Create Date 09/24/2001
Contractor DREXLER ELECTRIC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances Furnace and NC
Use /Nature of SFR/ Wire NC unit and reconnect furnace.
Work
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: ,K m Date 09/24/2001
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
(FD Division of Inspection Services
215 Church Avenue
P.O. Box 1130
CCM 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. p ',� ^ DATE ( - t e t - 0 1
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JOB ADDRESS 1 -I c3 1 I"l I W "c� Or S - r EL
OWNER N Z , t _ sc /"1 i h I
1'
CONTRACTOR 2 net_ t �� LL-c4 + ( 4,-
CIRCLE ALL APPLICABLE
USE CATEGOR SINGLE FAMIL DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE , EW CHANGE TEMPORARY � E,
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
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 X
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE 1,.J 6Q t t - C (j a i,'" .E- flQ e4 A H e I-V a. „J4C`
• 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) $
1) 0 0 •- 0-0 MASTER ELECTRICIAN � (' ,J 01.
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