HomeMy WebLinkAbout090552 - Electric (bathroom remodel) Cl# CITY OF OSHKOSH No 90552
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1813 MOUNT VERNON ST Owner JANINE R MUTZ Create Date 10/16/2001
Contractor HOEHNE ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Service 0 New Q Change O Temp Type Q Overhead _ Q Underground _
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use/Nature of SFR/Bathroom remodeling.
Work
Fees: Valuation $350.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: `{\ Date 10/16/2001
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 621 E ONTARIO ST OMRO WI 54963 -0 Telephone Number (920)685-0199 M 920-42(
40 01‘°0
/� Division of Inspection Services .� {I�/j�
,-tN` D 215 Church Avenue 6en ///JJJ"'--- ��_
` _ P.O. Box, 1170 /"
�1 Oshkosh, 0) 54903-1130 /�„�/\ /' //`
�rdLFax (920) 236-5084 o „offof io
' Oshkosh,
Phone (920) 236-5046 ((
/9 0\ r
4 � ELECTRICAL PERMIT APPLICATION
. All information after bold categories must be provided.
Incomplete applications will not be processed. //���
y� p�� c DATE l0'1V-0l
JOB ADDRESS f q l ( ' 1 i v� `o J r
OWNER _.Q-� j�
CONTRACTOR (4Jnc. ed t/i .
CIRCLE ALL APPLICABLE
USE CATEGORY
4igggl:!It DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
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
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE 1
,� INA S1A Jr arnd( %
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 1- •r" -/all materials including light fixtures) $.3 re
MASTER $LBCTRIC �,
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