HomeMy WebLinkAbout0102304 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1406 W NEW YORK AVE
SCHAFER ELECTRIC INC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LESLEE S SCHNEIDER
Category 623- ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 0
Switches 0
No 102304
Create Date 06/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range.
Use/Nature of DUPLEX/RENTAL/Relocate range outlet.
Work
Fees: Valuation
Issued By:
$150.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 06/19/2003
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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
(920) 725-2031 M 585-31
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 TH~ 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 ~ant this processed through your account []
JOB ADDRESS /.,~/'~) ~ ~' ~/. ,.~ ~
ow g
CFI'ECK [] ALL APPLICABLE
USE CATEGORY
[]Single Family J2~uplex
[]Multi-Family [~ental
TYPE
SERVICE IZ1New []Temporary
[]Change ~ot Applicable
[] Commercial [] Industri al
[]Overhead ~ APplicable
ElUndergro ,und
FILL IN TI:[E APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps- Switches # Fixtures #
CHECK [] ALL APPLICABLE
,Ell~ange nDishwasher EIGarbage Disposal []Dryer EIWater Heater
nFan OR Blower nFumace t-IA/C []Electric Sign
r-lMotors ' [2Gas Pumps []Other
DESCRIPTION OF ALL WORK BEING DONE . .~4~.~'_~ .~.~/_, _t"~~
MASTER ELECTRICIAN
3/02