HomeMy WebLinkAbout0098774 EOSHKOSH
ON THE WATER
Job Address 1191 HIGH AVE
Contractor QUALITY ELEC.
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Service ~) New (~ Change (~ Temp
Volts 120/240
Amps 100
Owner
Category
LAKEVIEW TERRACE LLC
633 - Residential-Multi-Family Addition/Re
Type (~ Overhead
Circuits 6
Switches 6
No 98774
Create Date 11/22/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Garbage Disposal & Fan or Blower.
Use/Nature of MULTI-FAMILY/Apartment remodel - Code violation repair & new wiring in open walls.
Work
Fees: Valuation
Issued By:
$1,800.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 11/22/2002
[] Permit Voided ]
,,s wo, , ,o overn,. n ,ruc ,on.
SignatUre~%' ~
~ ~ ~ Agen~Owner
Address 3754 GLENHURST LN
Date
OSHKOSH WI 54904 - 8524 Telephone Number
(920) 233-8931
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 \.VATER
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 []
DATE //-- '~--~ 2 _
CHECK [] ALL APPLICABLE
USE CATEGORY
IZISingle Family
SERVICE U1New
[]Change
F1Duplex ~ulti-Family
[]Temporary
F'INot Applicable
r"lRental
TYPE
FICommercial I-'llndustrial
[]overhead FINot Applicable
[]Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
Circuits
Fixtures
CHEc. C..K [] ALL APPLICABLE
~~R Blower~" ~ F~i~ShTca;her
IZlMotors F1Gas Pumps
~arb~ge Disposal
[]A/C
l-lOther
FIDryer
[]Electric Sign
DESCRIPTION OF ALL WORK BEING DONE
FlWater Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN ,~'~/~.~ ~
3/02