HomeMy WebLinkAbout2003-Electric (water damage repair)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 516 WASHINGTON AVE Owner MICHAEL R WINTER ETAL Create Date 04/11/2003
Contractor SCHAFER ELECTRIC INC Category 623- ResidentiaI-DuplexAddition/Remodel Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 3 Fixtures
Switches 7 Receptacles
Amps 0
No 100939
4
13
Appliances Fan or Blower
Use/Nature of Duplex/ Rewire 1-bathroom and 2-bedrooms.* Any walls that are opened shall have headers and electrical updated to current code
Work requirements.
Fees: Valuation
Issued By:
$1,400.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 04/23/2003
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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THF WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) wilJ result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR -
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
ff you want this processed through your account []
USE CATEGORY
[] Single Family l~tI~uplex
V1Multi-Family V1Rental
TYPE
SERVICE [2New
[2Change
eompOrary
t Applicable
[] Commercial [] Industri al
F1Overhead ~ot Applicable
[2Underground
FILL IN THE, APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles
Phase
Amps- Switches #
Circuits # ,_,~
Fixtures # ~;f
CFrECK [] ALL APPLICABLE
r"IR. ange [2Dishwasher E]Garbage Disposal
,[2'lSan OR Blower IDFurnace I'-IA/C
[]Motors [] Gas Pumps [] Other
[2Dryer
F1Electric Sign
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $
&O. ,,.o
3/02