HomeMy WebLinkAbout0100938-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1155 FREEDOM AVE
SCHAFER ELECTRIC INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HARRY L/DOLORES WINTERS
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 3
Switches 7
No 100938
Create Date 03/28/2003
Plan
~ Underground
Fixtures
Receptacles
6
14
Appliances Fan or Blower
Use/Nature of SFR/Wiring of lower level into family room, bedroom and 3/4 bathroom.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval $0.00 Permit Fee Paid
$45.00
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
O/HKO/H
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
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) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I£¥ou are a contractor participating in the Permit Fee Account System and have adequate £unds, check here
i£ vou want this processed through your account []
DATE ~,,r../,oc~.
CHECK [] ALL APPLICABLE
US~F~CATEGORY
,J~lSingle Family nDuplex r-IMulti-Family F1Rental
SERVICE [3New F1Temporary TYPE
[3Change F1Not Applicable
E]Commercial [] Industrial
[:]Overhead F1Not Applicable
ElUnderground
FILL IN TWE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles
Phase
Amps- Switches #
Circuits # ~-~
Fixtures #, , ~
CHECK [] ALL APPLICABLE
FIRange [3Dishwasher
J2'F~an OR Blower [3Furnace r-IA/C
UlMotors nGas Pumps F1Other
F1Dryer
[3Garbage Disposal
[3Electric Sign
DESCRIPTION OF ALL woRK BEING DONE
I-lWaterHeater
VALUE (Including labor and all materials including light fixtures) $
3/02