HomeMy WebLinkAbout0101856-Electric (remodel)OSHKOSH
ON THE WATER
.lob Address 206W PARKWAYAVE
Contractor DREXLER ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FEDERAL NATIONAL MTG ASSOC
Category 623 - ResidentiaI-DuplexAddition/Remodel
Amps 0
~) Temp
Type I~ Overhead
Circuits 2
Switches 2
No 101856
Create Date 05/30/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Fan or Blower.
Use/Nature of RENTAL/DUPLEX/Rewiring for beth upper and lower bathrooms.
Work
Fees: Valuation
Issued By:
$632.00 Plan Approval $0.00 Permit Fee Paid
$30.00
Date 05/30/2003
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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number
589-6700
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084.
ELECTRICAL PERMIT APPLICATION
All ~nfonnation after bold categories must be provides Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to Ci~ Hall, Room 205 or mailed m ~spection Se~ces, PO Box 1128,
Oshkosh ~ 54903-1128. Co~encing work ~thout pe~it(s) will result in fees being doubled or $100.00 plus the
no~al pe~it fee, which ever is ~emer.
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 ~
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[]Single Family ~Duplex U1Muiti-Family
SERVICE E3New []Temporary
I"lChange l~l~Tot Applicable
~lRental
TYPE
F1Commercial []Industrial
EIOverhead [~tgot Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /~,~ / ~;~,~D Receptacles#
Phase ~
Amps Switches #
Circuits
F~xtures
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher [] Garbage Disposal
J~Fan OR Blower EIFurnace F1A/C
[] Motors [] Gas Pump s [] Other
[]Dryer
F1Electric Sign
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all mater~a~sj~/luding light fixt~fes) $
.-'"~ I fill/
MASTER ELECTRICIAN ~ [[~
3/02