HomeMy WebLinkAbout0101032-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1137 VAN BUREN AVE
HOEHNE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROBERT A/SUSAN MOLASH
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 2
No 101032
Create Date 03/31/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Remodeling the existing bedroom.
Work
Fees: Valuation
Issued By:
$600.00
Plan Approval
$0.00 Permit Fee Paid
$25.00
Date 04/28/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 813 E RIVER DR OMRO WI 54963 - 0 Telephone Number
920-685-0199
D/vis/on of Inspection Services
P.O. ~x 1130
P~n~ (920) 23~5050
ELECTRICAL PERMIT APPLICATION
All info_.nnatlon after bold ca~gofies must be provided.
Incomplete apl;l/cations will not bc processed_
p.1
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withom permit(s) will result m fees being doubled or S100.00 plus the
fiormal permh fee, which ever is greater. '
OR
lf Fo'u ore a contractor partic..ipoti,g in the p. ermit Fee ,4ccount SFstem a~d Aave o..dl~quate f~_~nd$, check here
VIRental
TYPE
lq~ IN TH~ APPROPRIATR BLANK ~ THE NUMBER
V]Conunercial E]Industrial
V1Overhcad VINot Applicable
DUnderground
Volts /
Amps __.
CHECK [] ALL APPLICABLE
i"iRange I~Dishwasher
~F~ OR Blower OFurnace
~Mbtors ~Gas Pumps
Receptacles #- ~?V~ Circuits#/
~R3arbage Disposal
fqA/C
ViOther .~
nDryer CiWater Heater
VIElectric Sign