HomeMy WebLinkAbout0102364-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
442 W 16TH AVE
J.A.W.S. ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CURT J/VICTORIA SOWERS
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 2
Switches 9
No 102364
Create Date 05/07/2003
Plan
~ Underground
Fixtures
Receptacles
4
16
Appliances
Use/Nature of SFR/ Attic remodel - turning into family rm & bedroom.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 06/23/2003
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 PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
CITY OF osHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 442 W 16TH AVE Owner CURT J/VICTORIA SOWERS Create Date 05/07/2003
Contractor J.A.W.S. ELECTRIC Category 612- Residential-Single Family Addition/R Plan
Service ~ New O Change O Temp ] Type (~ Overhead .............
Volts Circuits 2 Fixtures 4
Amps 0 Switches 9 Receptacles 16
No 102364
Appliances
Use/Nature of -}FR/ Attic remodel- turning into family rm & bedroom.
Work
Fees: Valuation
Issued By: ~
$900.00 Plan Approval $0.00 Permit Fee Paid $40.00
[] Permit Voided
Date 06/23/2003
Signature ~ ~ ' Date
Agent/Owner
Address PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
(920) 688-2477
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKOJ"H
ON THF kVATER
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 vour account []
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
F1Single Family ElDuplex
r-lMulti-Family
SERVICE 71New
I-IChange
F1Temporary
F1Not Applicable
[-1Rental
TYPE
[] Commercial [] Industrial
F1Overhead F1Not Applicable
FIUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # j~t9
Phase
Amps Switches # -[
Circuits # ~
Fixtures # ~f~
CHECK [] ALL APPLICABLE
FIRange F1Dishwasher F1Garbage Disposal
I-IFan OR Blower ElFumace I-'IA/C
F1Motors •Gas Pumps r-IOther
F1Dryer
F1Electric Sign
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE j~77
V~ (Including labor a~d all materials including li~t fixtures) $
c/O
3/02