HomeMy WebLinkAbout0102990 EOSHKOSH
ON THE WATER
Job Address 't035 MASON ST
Contractor
Service
ARROW ELECTRIC OF osHKOSH Category
~uits
No '102990
CITY OF OSHKOSH
ELECTRIC PERMIT ' APPLICATION AND RECORD
Create Date 07/22/2003
Owner JAMES A KORTBEIN
~e Family Addition/R Plan ~
Type (~ Overhe~d~ _~) Underground
Fixtures ~
0
~ Receptacles
0
Amps ~
~C.
Appliances
Switches 0
Use/Nature of
Work
$0.00 permit Fee Paid $20.00
Fees: Valuation $150.00 plan Approval ~ _ Date 07122/2003
Issued By:
~ Permit void~ ~
in the performance of this work I agree to perform all work pursuant to rules governing the described construction. Date
Signature Agent/Owner
Address P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960
Telephone Number
~_20) 4264252
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.
OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
Amps
1035 MASON ST
ARROW ELECTRIC OF OSHKOSH
~) New (~) Change
0
CITY OF OSHKOSH No 102990
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JAMES A KORTBEIN
Category 612- Residential-Single FamilyAddition/R
(~ Temp Type ~ Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 07/22/2003
Plan
_~'~ Underground
Appliances Furnace & A/C.
Use/Nature of SFPJ 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
Address P O BOX 3960 - 280 E FERNAU AVE
Agent/Owner
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.
PHONE NO, : 9~264~20
CiI¥ of Oshkosh
P @. lgo× 1130
Osl'~ko~h, WI 54903-1130
?ho~e (920} 236-5050
Fax ~,920) 236-5094
~-~Single Family ~Dupiex ~M_,ti-Fam,!y
~Change ~J~_ _o1 Applicable
QUnder~ound