HomeMy WebLinkAbout0099414-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1926 E MURDOCKAVE
ARROW ELECTRIC OF OSHKOSH
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LURTON/CAROLYN BLASSINGAME R TRU:
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 1
No 99414
Create Date 01/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/ Install under cabinet lighting.
Work
Fees: Valuation
Issued By:
$500.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 01/09/2003
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
FROM : ARROW ELECTRIC
City of Oshkosh
Division o£ Inspection Services
P.O- Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-$050
Fax (920) 236-5084
PHONE NO. : 9204264220 Jan.
AR -(btO Lee_Tt-°-.I c_,
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
09 2003 08:05AM PI
O/HKC)/H
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 participa..tin[~ in. t~a_laqrmit Fee ,4ccount System and have ad,.eoyat.e funds., check bere
if...Vou want.thiS processed through your account ~, ....
.ATE
JOB ADDRESS j9~/,~ ~ ~r-,l~
OWNER ...... /~_lv,_ ,~_c..~ :,a, o¢.~_ k ~r4'oe~
CHECK [] ALL APPLICABLE
USE CATEGORY
l~ingle Family ["lDuplex
rlMulti-Family ElRental
TYPE
SERVICE ONew
v1Change
I'lTemporary
~qot Applicable
EICommercial ElIndustrial
I-IOverhead ~fNot Applicable
[3Underground
FILL IN THE APPROPRIATE BLANK WiTH THE N'tJMBER
Volts / Receptacles #
Phase
Amps Switches #_ [
Circuits
Fixtures
CHECK [] ALL APPLICABLE
ElRange r'iDishwasher [3Garbage Disposal
I-IFan OR Blower ElFurnace [3A/C
Z]Motors nGas Pumps ~Other _ o,,,i~-'
DESCRIPTION OF ALL WORK BEING DONE ~.,, ~ ~,~ It
ClDryer ~Water Heater
f"lElectric Sign
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN
3/02
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