HomeMy WebLinkAbout0100698-Electric (light/switch/outlet)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
450 #C1 N CAMPBELL RD
SOLAR ELECTRIC SERVICES INC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOAN ROEHRIG
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 100698
Create Date 04/08/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of CONDO/ADD 1 LIGHT, 1 SWITCH & 1 OUTLET.
Work
Fees: Valuation
Issued By:
$100.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/08/2003
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 3443 BROOKS RD OSHKOSH WI 54904 - 0 Telephone Number
231-3990
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, wi 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
APR 0 8 ~00~
BB~e~Ie~B ~B~I~ ~BIC~~[OEVELOPMENT
All information after bold categories must be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
SERVICE NEW
TYPE OVERHEAD
NO. OF FIXTURES
AMPS
DUPLEX
CHANGE
UNDERGROUND
SWITCHES
VOLTS /
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
PHASE
CHECKALL APPLICABLE
RANGE
DISHWASHER
ELECTRIC SIGN
DESCRIPTI~OF
WATER HEATER GARBAGE DISPOSAL DRYER
FAN OR BLOWER FURNACE A/C
MOTORS GAS PUMPS OTHER
ALL WORK BEI~NG DONE
i I I
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) $
MASTER ELECTRICIAN