HomeMy WebLinkAbout0101769-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
943 W 10TH AVE
MASTER ELECTRICAL SERVICES
[~ New ~ Change ~ Temp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES J MATSCHI
Category 612- Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 2
No 101769
Create Date 05/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ Trench power to a 24' x 24' detached garage and wire 3 lights, 1 outlet and overhead door.
Work
Fees: Valuation
Issued By:
$650.00 Plan Approval $0.00 Permit Fee Paid
$30.00
Date 05/28/2003
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 1913 MILL ST NEW LONDON WI 54961 - 2188 Telephone Number
(920) 982-6467
.~ B~r 25 03 09:44a Oshkosh Inspections 920-23S-5084
normal permit fee, which ever is greater.
Itc you are a contractor in the Fee Acaount
ff vou want this t~rocessed through ]:our acco~tnt []
OWNER
CONTRACTOR
CHECK [~ ALL APPLICABLE
USE CATEGORY
1~ Single Family
SERVICE r']New
[~Change
[]Duplex F1Multi-Family nRental
[=lTemporary TYPE
I~Not Applicable
[] Commercial Ellndustrial
ElOverhead
F1Underground
171Not Applicable
FILL IN THE APPROPRI~IE BLANK WITH THE NUMBER
Volts
Phase
Amps
Circuits
Fixtures
CHECK [] ALL APPLICABLE
nRange FIDishwasher [] Garbage Disposal
[]Fan OR Blower nFumace [A/C
r'IMotors , []Gas PumPs []Other
n~scm~io~ or ~i~ womc ~'i~ ~o~ ~'-E~.0~c ~
•Dryer
DEtectric Sign
F1Water Heater
VALUE (Including labor and
3/02