HomeMy WebLinkAbout093196 - Electric (exterior lights) CITY OF OSHKOSH No 93196
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1838 MOUNT VERNON ST Owner MYLES/ALFRIEDA LEUTHOLD TRUST Create Date 03/25/2002
Contractor QUALITY ELEC. Category 612-Residential-Single Family Addition/R Plan
Service p New O Change O Temp Type 0 Overhead O Underground
Volts 120/240 Circuits 0 Fixtures 2
Amps 100 Switches 0 Receptacles 5
Appliances
Use/Nature of SFR/Rehang 2 exterior lights with new fixtures,replace 5 existing rec.with GFI recs. Remove 1 pendant basement fixture&cover box.
Work
Fees: Valuation $245.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 03/25/2002
Permit Voided
In the performance • his ork a•- -- to perfor all o: uant to rules governing the described construction.
Signature / f � Date 3-2,S=d Z
Agent/Owner
Address 3754 GLENHURST LN OSHKOSH WI 54904 -8524 Telephone Number (920)233-8931
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
tj 0/1-1(0/F-1 Faxkos(920) 236-508430
ON THE WATER
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
( DATE ,�-2 5--6 Z
JOB ADDRESS /233 /�T V erA, A) ��� C io'co RRk k:))
OWNER 144Yfes (_1 CONTRACTOR (,( _. I Ay 7i/e ,C
CIRCLE ALL APPLICABLE
USE CATEGORY NNGLE FAMILy =bUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES 2 SWITCHES RECEPTACLES 5— C IRCUITS
AMPS /00 VOLTS / / 2?eb PHASE S%"—(C
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS �/J� GAS PUMPS OTHER
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DESCRIPTION OF ALL WORK BEING DONE e /. 2 E1-10(\ o/ ` i 5, rS (...) f1
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• 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 ma erials including light fixtures) $ 2-V- °
, of doe / --0°'
MASTER ELECTRICIAN