HomeMy WebLinkAbout0102989 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1757 LOMBARD AVE
ARROW ELECTRIC OF OSHKOSH
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES J KORTBEIN
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 102989
Create Date 07/22/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Furnace & A/C
Use/Nature of SFR/Wire furnace and A/C.
Work
Fees: Valuation
Issued By:
$150.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 07/22/2003
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 P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 Telephone Number
(920) 426-4252
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
FRO~t : ARRO[J ELECTRIC PHONE NO, : 92~4264220 JuL 21 2003 12:27PM PI
City oi' Oshkosh
Division of Inspection Services
P.O. Box 1130
Osl'&osh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT A, P,.,CA, ,ON
Ali information aRer bold categories must be provided.
Incomplete applications will not bc taoccssed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
O!hkosl~ W! 54903-! !28. Commencing work without pe..,:m..i!(s) wi..'!I ~sult m fees berg doub!¢d or $100.00 plus the
normal permit fee, which ever ia greater.
OR
if You want this vroce$$ed through your account ~
DATE
OWNER ~
USE CATEGORY
.,~ingle F~miiy ~IDuple× ~Mu!fi~ami!y
SER~CE ~New UTem~ra~
~Change ~oi Applicable
,_J, Commerem~ ~Ind,strial
TYPE r'lOverhoad ElNot Applicable
~Undergrou~
~L IN ~ APPROP~J. ATE BLANK WITH THE . .~rMBER
Volts / R~ptaela~ # Circuits
Amp~ , Switches #, Fixture~
CH~C'~ ~ ALL APPLICABLE
[DRange CIDishwasher E1Garbage Dis.re>sa! UlDryer
~Fan OR B!ow.-r ~--!~Fumace J:~FA/C t~lElectric Sigm
FlMotors VIC. as Pumps VlOther
F1Water Heater
DESCg..!PTION OF ,~'~L WORK BEING DONE