HomeMy WebLinkAbout0098993-ElectricOSHKOSH
ON THE WATER
Job Address 1041 JEFFERSON ST
Contractor ARROW ELECTRIC OF OSHKOSH
Service ~ New O Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Amps 100
O Temp
Owner
Category
Circuits
Switches
ADRIAN/GRETCHEN WANEK
612 - Residential-Single Family Addition/R
Type (~) Overhead
1
2
No 98993
Create Date 12/03/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of ~ES/Remodel bathroom.
Work
Fees: Valuation
Issued By:
$550.00 Plan Approval $0.00 Permit Fee Paid
$25.00
Date 12/09/2002
[] 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
~ FROt'[': ~qRROIJ ELECTR I C
Ci:y or-Oshkosh
Divisloa of Inspection Services
P.O, Box 1130
Oshkosh, WI 54903-1130
P~De (920) 236-50~0
Fax (920) 2~50~4
PHONE NO. : cy2B4264220
D~!co
ELECTRICAL PERMIT APPLICATION
All information afxer bold categories must be piovided.
Incomplete applications will nOt be processed.
2002 EL3: 57PM P2
Of HKOfH
Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 I28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
the Permit Fee Account System and have adequate fund.s, check hcr~
If_you are a con~articipating in -
i~ou want this processed throueh voter ac¢ou~-.Ct p
JoB AODm SS /
CHECK [] ALL APPLICABLE
USE CATEGORY
~.in~le Family C]Dupicx r'l~Vlulti-Family
SERVICE ClNew ElTcmporary
ElChang¢ ~.,ot Applicable
ElRental
TYPE
nCommcrcial [3Industrial
C]Ovtrhcad [~ot Applicable
nUnderground
FILL IN THE AP~PROPRIATE BLANK WITH THE NIYMBER
Volts ' /~O / ~'~t-/O Receptacles # / Circuits
phase t /
Amps ~'be O' Switches #~ =.~' Fixtures
CHECK [] ALL APPLICABLE
l-IRange CIDishwasher C]Oarbag¢ Disposal rqDrycr
E1Fan OR Blower I-1Fumace ElA/C ClElectric Sign
ElMotors EIGas Pumps CtOther _ ,,
F'IWater Heater
DESCRIPTION OF ALL WORK BEING DONE
'VALUE (lndudlng labor and all materials including light fixtures) $, ~--.~'0. OD
2.¢_,