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0102769-Electric (water heater)
OSHKOSH ON THE WATER Job Address Contractor Service Volts 1781 1783 MARICOPA DR BQ ELECTRIC SERVICES LLC [~ New (~ Change (~ Temp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner MOKLER PROPERTIES INC Category 633- ResidentiaI-Multi-FamilyAddition/Rem Type I~ Overhead Circuits 0 Switches 0 No 102769 Create Date 07/07/2003 Plan ~ Underground Fixtures Receptacles Appliances Water Heater Use/Nature of RENTAL/1783 B/Emergency service call, on 7/3/03, to hook up new water heater. Work Fees: Valuation Issued By: $90.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 07/11/2003 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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number (920) 233-9005 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 JUL 1 1 2003 DEPARTMENT OF u~.~tJNIT¥ DF-F£LOP~NT ELECTRICAL PERMIT APPLICATION' All information after bold categories must be provided. Incomplete applications will not be processed. O/HKO/H · Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-I 128. Commencing work without permit(s) will resul~ in fees being doubled or $100.00 plus the normal permit fee, which ever is ~eaterl OR If you are a contractor participating in the Permit Fee Account System and have adectuate funds, check here if you want this processed through your account [] co T cTo g© ccvioes.( CHECK [] ALL APPLICABLE USE CATEGORY E] Single Family ~Duplex DMulti-Family SERVICE [3New [3Temporary [3Change F INot Applicable ~Rental nCommercial Dlndustrial TYPE nOverhead ElNot Applicable nUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Circuits # Phase Amps Switches # Fixtures # CIIECK [] ALL APPLICABLE DRange [3Dishwasher [3Garbage Disposal [:3Dryer [3Water Heater [3Fan OR Blower [3Furnace [3A/C E1Eleclxic Sign . DMotors nGas Pumps ~Other VALUE (Including labor and all.g~-ye.r~ials i .ncJ~ing..l~t fixtures)