HomeMy WebLinkAbout0102305-ElectricOSHKOSH
ON THE WATER
,Job Address 1325 KENSINGTON AVE
Contractor DREXLER ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KRISTINE S VlLLARS
Category 612- Residential-Single Family Addition/Ret
Amps 20
~ Temp
Type I~ Overhead
Circuits 2
Switches 1
No 102305
Create Date 06/17/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Dishwasher
Use/Nature of SFR/Remodel kitchen - Install outlets and wiring for dishwasher.
Work
Fees: Valuation
Issued By:
$300.00 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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number
589-6700
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECENED
JUN 1 9 ?3O5
O/HKO/H
ON T~qE WATER
ELECTRICAL PERMIT 1: _ ._
All information after bold cate~N~}'~i~L0?~E~
Incomplete applications wilVri6~'be processed.
· Application(s) and fee(s) can be brought to Cit~ 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 $1-00.00 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 prc?.ces&efl through your account []
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
'~Single Family
SERVICE FINew
F1Change
UIDuplex F1Multi-Family
[2]Temporary
~ot Applicable
F'lRental
TYPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /Z.o / ~ ~ Receptacles # ~.
Phase ~
Amps ~-~:~ Switches # /
12Commercial Fllndustrial
FlOverhead I~Not Applicable
nUnderground
Circuits # ~--
Fixtures # /
CHECK [] ALL APPLICABLE
F1Range J~lDishwasher nGarbage Disposal
F1Fan OR Blower F1Fumace F1A/C
F1Motors 1'3Gas Pumps F1Other
E]Dryer
F1Electric Sign
F1Water Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materia~,~c~ding light fixtures) ~ ~-~ ~ O. CC)
MASTER ELECTRICIAN
3/02