HomeMy WebLinkAbout0098888 EOSHKOSH
ON THE WATER
Job Address 683 MONROE ST
Contractor ARROW ELECTRIC OF OSHKOSH
Service ~ New ~1 Change
Volts 120/240
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
O Temp
Owner
Category
Circuits
Switches
GERALD A/MICHEL TIEDJE
634 - Residential-Service Change
Type (~ Overhead
0
0
No 98888
Create Date 12/03/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFPJ Upgrade electric service.
Work
Fees: Valuation
Issued By:
$1,250.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
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
~. F. ROF~: RRROtJ ELECTRIC
City of Oshkosh
Division of Inspection S~rviccs
P.O, Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
PHONE NO. : 92~42E~220
D~co
'ELECTRICAL PERMIT APPLICATION
All information afar bold categories must be provided.
Incomplete applications wilt not be processed.
2002 11: 12RM 1:)2
Q/HKO/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
l. f you are a contractor participating in the P~rmit Fee Jccount System and have adequate funds, check here
if_. vott. want tiffs processed tttro_~lth, your account []
CHECK [~ ALL APPLICABLE
USE CATEGORY
~i~ingle Family IZlDuplex ClMulti-Family
SERVICE nNew EITemporary
~'hangc l'lNot Applicable
I"lRental UIConunercial I-IIndustrial
TYPE J~[Overhead IZINot Applicable
ElUnderground
FILL IN THE APPROPRIATE BLANK VFITH TIlE NLrMBER
Volts -/~O /~'O_ Receptacles # Circuits
Phase ! ~'
Amps / ~o Switches # Fixtures
CHECK Ol ALL APPLICABLE
ORange nDishwasher
OFan OR Blower ClFumaee
t'TIMotors r'lGas Pumps
I"lGarbage Disposal
DOther
ODryer
F'lElectric Sig~
['lWater Heater
DESCRIIrrlON OF ALL WORK BEING DONE
'VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN , ~ ,f~ ~4,~,,/$
3/02