HomeMy WebLinkAbout0101280-Electric (wire boathouse)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
15 BAY SHORE DR
RUCK ELEC
New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES H LANG
Category 612 - Residential-Single Family Addition/Ret
Type ICI Overhead
Circuits 1
Switches 1
No 101280
Create Date 05/02/2003
Plan
~] Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Feed to boat house. Install switches & recps. Install power to transformers for L.V. lights.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
$60.00
Date 05/05/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OJ'HKOJ'H
ON T~F 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 you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JoB o ss t 116' 4ba '
CHECK [] ALL APPLICABLE
Us,,r~CATEGORY
[]ffSingle Family IZlDuplex l-lMulti-Family EIRental
SERVICE I-INew I-ITemporary TYPE
[]Change []Not Applicable
I-ICommercial I-1Industrial
[]Overhead El'Not Applicable
r'lUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[]Range []Dishwasher []Garbage Disposal []Dryer l-lWater Heater
I-IFan OR Blower I-IFumace [A/C []Electric Sign
ElMotors IZlGas Pumps I-1Other
VALUE (Including labor and"'' ~/~"'.,,/.,.,e including light fixture~~)~ C3 --
MASTER ELECTRICIAN~ /~f/~/~ ~ d) ~
3/02