HomeMy WebLinkAbout0101941-Electric (a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
835 HERITAGE TRL
MANTHEY ELECTRIC INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MIGUEL DELAO JR
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 101941
Create Date 06/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances ~,/C
Use/Nature of SFR/Wire a/c.
Work
Fees: Valuation
Issued By:
$165.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 06/04/2003
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 83 BRYN MAWR CIR FOND DU LAC WI 54935 - 0 Telephone Number
920-922-9618
215 Church Avenue
P.O. Box 1130 .,,~ ,
oshkosh, ~ 54,0~-~ 0 ~ 2~3
OJ'H~O/H Fax (920) 236-5084
CO~'It~LlflJTY DEVELOPNIENT
ELECTRICAL PERMIT APPLICATION
Ail information after bold categories must be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
USE CATE~ORY~NGLE FAMIL~ DUPLEX
SERVICE NEW CHANGE
TYPE OVERHEAD UNDERGROUND
NO. OF FIXTURES SWITCHES
AMPS VOLTS /
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
PHASE
CHECK ALL APPLICABLE
RANGE
DISHWASHER
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSAL DRYER
FURNACE A/C X
GAS PUMPS OTHER
Submit payment with application. Failure to pay within 30 days will resul~ in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and all materials~including light fixtures) $i~ O ~