HomeMy WebLinkAbout0101491-Electric (sunroom)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1611 EVANS ST
STATEWIDE ELECTRIC INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROGER M WOLVERTON
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 0
No 101491
Create Date 05/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ wire for sunroom.
Work
Fees: Valuation
Issued By:
$500.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 05/14/2003
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 2315-D BADGER DR WAUKESHA WI 53188 - 0 Telephone Number
262-542-1265
Cily of Odak.'~sh
l)iv~sum of Im~pecl i~,n 5 c,'viccs
P.O. Bo× 1130
Oshkosh. WI 54903 -1130
Phone (920) 236-s050
Fax ¢920i 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided
Incomplete applications will not 'be processed.
Apphcatxm(sl and tee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sen'ices. PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal pcrrnil fee. which ever is greater.
OR
DATE 05/12/03
JOB Al)DRESS 1611 Evans Street _
OWNER .................. Roger Wolverton
C()5'IRAC'I'OI~, Statewide Electric Inc
CHECK ~ AIA, APP.! ICAfH,E
~__JSiv ole Family [3Dup]ex
LqMulti-Family I-1Rental
TYPE
S l!;R V 1 CE 17.'I N e w
[Z]Ch;~n t,~e
Cj'I'empora7
~Not Applicable
~ Commercial:, E]h~dustrial
ClOverhead E]Not Applicable
L-JUnder~ound
6|13. IN TtIE ;kPP.ROPRIATE BLANK WITH THE NUMBER
Volt_~
Phase ...................................
Amp~ ..............................
Receptacles
Switches !~
Circuits
l?ixmres
CilECK [] A1 ,I, APP'LICABI,E
UlRange FIDishwasher
DFan OR. B)ower UFnmace
l-lMetors ITIGas Pumps
[]Garbage Disposal
[]
ElOther
[] Dryer
E]Electnc Sign
[] Water Ileater
DES _RI I"TION OF A I.,L WORK BEING DONE ........
VALUE (I.cludhq[ labor and all materials including light fixtures) $ 500.00 PERMIT FEE: $20.00
MASTER .E I_,E ( ...'I ILl (,. IA: ...........................................
3702