HomeMy WebLinkAbout2002-Electric (a/c) � �► CITY OF OSHKOSH Nosa�a�
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 109 PROSPECT AVE Owner DOLORES ANN SPANBAUER Create Date 05/30/2002
Contractor SECKAR ELECTRIC Category 612-Residential-Single Family Addition/R Plan
Service New � Change � Temp Type Q Overhead � Underground i
Volts Circuits 1 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances C
Use/Nature of FR/Wire new A/C. `
W ork
Fees: Valuation $150.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: �/ y� Date 05/30/2002
T
� Permit Voided i.
In the performance of this work i agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 -0 Telephone Number (920)582-4909
FROM : SECKAR ELECTRIC FAX N0. : 9202313950 May. 29 2002 06:50PM P2
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City of Oshlcash
Divi�ion of l�upeatian Setvicoa �
Y.O,�x 1130 �
Qshkosh,WI 54903-1130
Phone(5120)z36-S050
Fax (9Z0)236-508A
N N% A
ELECTRICAL PERMIT APPLICATICIN
All infotmation aiter boW categorics must bo pmvided.
Incompinte applicationa will not be prxa�d.
• Applicatian(s)and fco(s}can be bmught to City Hall,Room 205 a mailed to Inspection Srnices,PO Box 1128,
Oahkouh WI 54903-1 i28. Co�turnncing work v►ithout pern�it(s)will result in fees being doubled or 5100 00 plus the
normal pecmit fee,which ever is gzester.
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JOB ADDRE.SS I U T ���S��Z-�„
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Cf�CK BJ ALL APPLICAB�.E
�U CA'TEGORY
u�gle Faetiily QDuplex OMuhi-Family ❑Rental ❑Commercial OIndustrial
3TRVYCE ONew OText►po�cary TYPE D�+erhead ,�'�tot Applicabk
pChatige ;�V'ot Applicable Cllinderground
FILL II�T THB APPROpRIATE H�L.ANK WITH TS'E��V�,BER
Volts � / Receptacles# Circnitc# �
Pl�e
pqy� Swkches t� Fiuturca#
C$TCK�ALL A�P'PI.ZCABLE
pRange �Dishwasher OGarbage Disposal ODryer ❑VNater Heater
DFtn OR Blower DI�1�rnact ,I�'�/C [3Ekc�ric Sig�,
l]Motors OGas Pumps (�Othct _ . _
A�SCRIP'TION OF ALL R+ORK BBING DO1VE ���-
VAI,YJE(Inclu�btbor�nd tl1 ms fak iocludi light tlxtures)� 1�0•Op
MASTFR EL'L+C"1'RIC1A1�
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