HomeMy WebLinkAbout0102044-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2022 NEBRASKA ST
SLIM'S ELECTRIC, INC.
I~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARK A/PAMELA A LOBAJESKI
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 3
No 102044
Create Date 06/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wire sunroom.
Work
Fees: Valuation
Issued By:
$500.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 06/09/2003
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 2608 OAKWOOD CIR OSHKOSH WI 54904 - 8466 Telephone Number
(920) 426-5249
City of Oshkosh'
Divis~' n of In,re'on ~
P.O. Box ! !30
Oshkosh, WI 54903-1130
Yhon~ (920) 2~6-$050
Fax (920) 236-508~
RECEIVE
dUN 0 6 £003
DEPARTI?IENT OF
ELECTRICAL
All information after bold catesode~ must be provided,
lncon~lete 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,
Osb_kosh W~ '54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus tbe
normal l~nnit fee, which ever is greater.
OR
tfyou arq, a' contractor varticit~atin~t in the Permit Fee Account System and h_a~e._adequate funds, check here
if yo#. want this t~rocessed through _~°ur account
Dnr~ 06/04/03
JOanVDaV. sS 2022 Nebraska St.
ow~z Mark
co~rancroa Slim's Electric Inc.
C-'I~CK ~ ALL APPLICABLE
USE CATEGORY
~Single Family r'lDuplex
r'iMulfi-Family
NERVI~ I~]New
ISChange
I'lTeml~rar~
13Not Applicable
C3R~ntal CiCommerciaI Olndustrial
TYPE OOv~rhtnui r'lNot Applie. able
OUndergrouna
~ IN TI~ APPROPRIATE BLANK WITH THE NUMBER
Volts i . Receptacles ~. 7
Phnse
Amps 'Switches# 3
c~# 1
Fixtures ~. 3
CHECK [~J ALL APPLICABLE
ORange [IDishwasher ClGarbage Disposal
C3Fan OR Blower f=lFumaee OA/C
OMotors EIGas Pumps ~Other
ODryer
O]~lect~ic Sign
DESCRIPTION OF ALL WORK BlUiNG DONE .Wire sun.,, room
OWater Heater