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Home My WebLink About0098728-Electric (furnace; water heater)OSHKOSH ON THE WATER CITY OF OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD Job Address 24 W 11TH AVE Owner Contractor NICOLET ELECTRIC INC Category Service ~) New (~ Change ~) Temp I Volts Circuits.. Amps 0 Switches NENG THAO XIONG 623 - Residential-Duplex Addition/RemodE Type (~ Overhead 0 0 No 98728 Create Date 11/2012002 Plan ~ Underground Fixtures Receptacles Appliances Furnace (2), Water Heater (2) Use/Nature of Rewire Furnace and Water Heater for 24 W 11th and 24A W 11th Work Fees: Valuation Issued By: ~ $600.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 11/20/2002 [] Permit Voided In the perforrnance.~.f this work I agree~ to perform all work pursuant to rules governing the described construction. _ / ,,._ v /,7.~ Agent/Owner Date Address PO Box 48 Mountain WI 54149 - 48 Telephone Number 715-276-9667 City of Oshkosh Division of Inspection Services P.O. Box~1130 Oshkosh, WI 54903-1 i30 Phone (920) 236-5050 Fax (920) 236-5084 O/HKO/H O~ THF \,VAT~R 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 $100.00 plus the normal permit fee, which ever is greater. 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 [] JOB ADDRESS ~t~/~ ~ ./~Y-~ _~/ OWNER DATE CHECK [] ALL APPLICABLE USE CATEGORY l~ingle Family SERVICE [3New [3Change ~uplex [3Multi-Family [3Temporary [3Not Applicable [3Rental TYPE [:]Commercial Vllndustrial F1Overhead FINot Applicable F1Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Phase Amps Switches # Circuits Fixtures CHECK [] ALL APPLICABLE FlRange ?~hwasher [3Fan OR Blower uarumace V1Motors [3Gas Pumps DESCRIPTION OF ALL WORK BEING DONE F1Garbage Disposal [3A/C [3Other F1Dryer ~Water Heater I-IElectric Sign VALUE (Including labor and all m~ceri~is inc]j~ding light fixtures) 3/02 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 O/HKO/H ON THF WATER 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 $100.00 plus the normal permit fee, which ever is greater. 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 [] JOB ADDRESS o~4 OWNER CONTRACTOR CHECK [] ALL APPLICABLE USE CATEGORY IZlSingle Family [~/uplex V1Multi-Family V1Rental VICommercial VlIndustrial SERVICE 12New F1Change F1Temporary FINot Applicable TYPE DOverhead FIUnderground FINot Applicable FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Phase Amps Switches # Circuits # Fixtures # CHECK [] ALL APPLICABLE F1Range V1Dishwasher FIGarbage Disposal FIDryer [~ater Heater [2]Fan OR Blower li~l~urnace FIA/C F1Electric Sign []Motors V1Gas Pumps V1Other YALUE (Including labor and a~2~ight, fixtures) $ , ~? MASTER ELECTRICIAN 3/02