HomeMy WebLinkAbout0102485 EOSHKOSH
ON THE WATER
.lob Address 1940 OLIVE ST
Contractor TOWN & COUNTRY ELECTRIC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ANNETTE M K REDEMANN/SHIRLEY WIL
Category 634- Residential-Service Change
Amps 1 O0
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102485
Create Date 06/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Service change.
Work
Fees: Valuation
Issued By:
$675.00
Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 06/27/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
0§/26/2003 THU 08:14 FAX 920 738 8987 SERVICE ~001/001
P.O. Dox
Oshkosh,
Phone (920) 236-5050
Fax (920) 236.50~
}N
~ ~, # .57d77
Q./HKO./k
Application(s) and fee(s) can bc brought to City Hall, Room 205 or mailcd to Inspection Services, PO Box 1128,
Oshkosh W1 54903-I 128. Commencing work without permit(s) w/Il result in fees l:~ing doubled or $100.00 plus thc
normal permit fcc, which cvcr is greater.
OR
!f_vou gte a contractor garticipatine in the Perm._ ~ee Acc~ou_nt System and have adequate funds, check ~¢re
if you want t~i$ ~roc~$$ed through vour account ~ '
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,'r ,/ ; lice
JOB ADDRESS
OWI~ER
CONTRACTOR
CItECK [] ALL APPLICABLE
USE CATEGORY
~Single Family I"lDuplex
EIMulti-Family
SERVICE EINew I-1Tcmporavj
J~Change I--INet Applicable
I00 -lO0
FILL IN THE APPROPRIATE BLANK WITH THE _~MBER
Vol~s ·/~/) I ~qO Receptacles #
Pha~e l
Amps /6' O Switches #
DRcntal ITlCommercial
TYPE ~Overhead
ElUnderground
Circuits #
Fixtures #
I~Industrial
I-INet Applicable
CI~CK [] ALI. APPLICABLE
ORange I-IDishwasher I-lGarbagc Disposal
ElFan OR Blower ClFumaee ["IA/C
EIMotors ~Gas Pumps DOthcr
EIDryer
ElElcctric Sign
DESCRIPTION OF ALL WORK BEING DONE
DWatcr Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN