HomeMy WebLinkAbout2003-ElectricOSHKOSH
ON THE WATER
.lob Address 814WRIGHT ST
Contractor M&M ELECTRIC
Service [~ New
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEFFREY J/SUE A WICINSKY
Category 612 - Residential-Single Family Addition/Ret
Amps 100
Change ~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101763
Create Date 04/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dryer, Motors
Use/Nature of SFR/Rental/2 bedroom addition and a bathroom remodel.
Work
Fees: Valuation
Issued By:
$1,300.00 Plan Approval
$0.00 Permit Fee Paid
$60.00
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 175 MC KINLEYAVE Omro WI 54963 - 0 Telephone Number
920-685-3071
O~hkosh Inspections 920-23G-5084
Ma~ 23 03 09:28a
City of Oshkosh
Division oflnspection Services
P.O, Box 1130
Oshkosh, WI 54903-1
Phonc (920) 236-5050
Fax (920) 236-5084
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 5;100.00 plus the
normal permit fee, which ever is greater.
OR
I_~vou are a contractor p..articil~_a_t~n in the Permit Fee Account S.~!sjqm ant[h_a~ve adcauate~_fund..s_~check l~ere
f_.~q! wa.~tt this pLqoc¢~_#ed_~thro_u..gh VD.Ur accoun___L []
~1'-'f
JOB ADDRE~Sfl__.~J_..L
CONTRACTO
CHECK I~ ALL APPLICABLE
USE CATEGORY
EISingle Family DDuplex EIMulti-Family
~Tcmporary
SERVICE EINew ~INot Applicable
ElChangc
ental
TYPE
FILL IN THE APPROPRIATE BLANK ~VITH THE ~BE~R
~Commercial I~lndustrial
ElOverhead ~,lot Applicable
DUnderground
Volts ._~0 __/fi~ Receptacles # Circuits ~
Phase ____L Fixtures #
Amps ~ --- Switches ~_ --
CHECK I~ ALL APPLICABLE
EIRange EIDishwasher EIGarbage Disposal j~Drycr F1Water Heater
DFan OR Blower [IFumace FIA/C [lElectric Sign
~Motors DGas Pumps nOther
~scm,,o~ Dy ~L wo~u,~IN~ Do~ Z_..~ g ~..--~---- ._~-td;-~ ~,~ .... ~ ~ ~-
VALUE (Inehding labor and all materials including light filttures) _~ O 0