HomeMy WebLinkAbout0101855-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1602 N MAIN ST
DREXLER ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KARL/PATRICIA KOELSCH
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 3
Switches 3
No 101855
Create Date 05/16/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dishwasher.
Use/Nature of SFR/ Kitchen Remodel.
Work
Fees: Valuation
Issued By:
$1,450.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
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
City of Oshkosh
Division o£ Inspection Servmes
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-$050
Fax
(920) 236-5084 R~'O.~[
ELECTRICAL PERMIT AI I YL. N
All information after bold categor/t~a..must be provide&
Inco~lete applicatio~~~
Application(s) and fee(s) can be brought to Ci~ Hall, Room 205 or maile~~ Se~ces, PO Box 1128,
Oshkosh ~ '54903-1128. Commencing work without pemit(s) will result in fees being doubled or $100.00 plus the
no~al pe~t fee, which ever is ~eater.
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 ~
DATE
CONT~CTOR D~~ ~e~C~t k
CI-IECK [] ALL APPLICABLE
S~inCATEGORY
gle Family [3Duplex [3Multi-Family
SERVICE F1New F1Temporary
[3Change F~qot Applicable
I"lRental
TYPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # ~9
Phase
Amps Switches # ,~
[3Commercial Fllndustrial
F1Overhead ~;~Not Applicable
F1Underground
Circuits # ._~
Fixtures # _.~
CHECK [] ALL APPLICABLE
ElRange ,~Dishwasher IZlGarbage Disposal
F1Fan OR Blower E]Furnace F1A/C
[3Motors F1Gas Pumps l"lOther
DESCRIPTION OF ALL WORK BEING DONE
F1Dryer
[3Electric Sign
ElWater Heater
VALUEMASTER (Including 'ab°r and all ~ding~ht ~~'~* ~'~'~ ELECTRICIAN '
3/02