HomeMy WebLinkAbout0098887-ElectricOSHKOSH
ON THE WATER
Job Address 1420 BISMARCK AVE
Contractor ARROW ELECTRIC OF OSHKOSH
Service ~ New O Change
Volts 120/240
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner DANIEL G/P E HUGHES
Category 612- Residential-Single FamilyAddition/R
O memp I Type O Overhead
Circuits 4
Switches 3
No 98887
Create Date 12/03/2002
Plan
Underground
Fixtures
Receptacles
Appliances =an or Blower
Use/Nature of FP,/Addition off the back of the house.
Work
Fees: Valuation
Issued By:
$2,400.00 Plan Approval $0.00 Permit Fee Paid $75.00
Date 12/03/2002
[] 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
FRDId : ~RRBW ELECTRIC
City of Oshkosh
Division of Inspection Services
P.O. ~ox 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
PHONE NO. : 921~26422B
De[c,
E' LECq-R tO_.
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided,
Incomplete applications will not be processed.
03 2002 ll:12AM P3
fzlo foz
Q FKO/H
ON TMF WATER
· 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 r~sult in fees being doubled or $100,00 plus the
normal permit fee, which ever is greater.
OR
l_~_you ore a contractor participating in the Permit Fee .4ccount 5¥stem and have adequate fund~, check here,
fi.you want th,i~ proce$$,ed,.t~rou~h your acca~_L 0
DATE _/_MS/t~ ~
JO~A~m~SS I"/_~O. t'7~;~,~t.,~.~ ....
CHECK i~ ALL APPLICABLE
USE CATEGORY
~$ingle Family' "ElDuplex r'iMulti-Family
SERVICE nlqew [2Temporary
nChange ~Nlot Applicable
I-IRental
TYPE
ElCommercial nlndustrial
I-IOverhead JiilNot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts J.~O / ,.O~O Receptacles
Phase / ff
Amps ___-9 e0 Switches ~
Circuits
Fixtures
CHECK [] ALL APPLICABLE
F Rangc l-lDishwasher r'lGarbage Disposal
an OR Blower IDFumace CIA/C
~Motors DGas Pumps l-lOiher
DESCRIPTION OF ALL WORK BEING DONE
[~Dryer ClWater Heater
ElElcctric Sign
'VALLE (Including labor and aH materials includin8 light fixtures)
MASTER ELECTRICIAN ~.,/C_c. >'/,. o ~,~¢/~
3/02