HomeMy WebLinkAbout2002-Electric (repairs) . •
/�'� CITY OF OSHKOSH No 97882
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 121 PROSPECT AVE Owner LEE J TRITT Create Date 10l08/2002
Contractor SOLAR ELECTRIC SERVICES INC Category 623-Residentiai-Duplex Addition/Remode Plan
Service New � Change � Temp Type Q Overhead � Underground I
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use/Nature of ENTAU DUPLEX/Make repairs,add lights upstairs&add exhaust fan upstairs.
Work
Fees: Valuation $500.01 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: l�� Date 10/09/2002
� 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 3443 BROOKS RD OSHKOSH WI 54904 -0 Telephone Number 231-3990
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,. � �
City of Oshkosh
Division of Inspecrion Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O.lHKO.IH
ON THP WATER
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
If vou are a contractor participatingin the Permit Fee Account Svstem and have adeguate funds, check here
if you want this processecf throuQh vour account ❑
DATE (� �
JOB ADDRESS < � �tf�S
OWNER �P� f`�C�I
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CONTRACTOR___��lCe-`` �l'�c�
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family �Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead �Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK C�1 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE .lc��P M`° �� `°�r��C� �? ' �S
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G� Ct Lv ���
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VALUE (Including labor and all materials ' cluding light fixtures) $ ��� � ��
MASTER ELECTRICIAN
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