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HomeMy WebLinkAbout2003-Electric (heater)OSHKOSH ON THE WATER .lob Address 1935 WALNUT ST Contractor ARROW ELECTRIC OF OSHKOSH Service [~ New ~ Change Volts 120 / 240 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner MR/MRS MICHAEL MATULLE Category 612- Residential-Single Family Addition/Ret Amps 1 O0 ~ Temp Type I~ Overhead Circuits 1 Switches 0 No 99571 Create Date 01/24/2003 Plan ~ Underground Fixtures Receptacles Appliances Heater Use/Nature of SFR/Install line voltage wiring for heater. Work Fees: Valuation Issued By: $100.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 01/24/2003 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 of Inspection Services P.O. Box I 130 Oshkosh, Wl 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 PHONE ~HO..: -92~2B4220 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be proc~sed. Jan. 23 2003 03:16PM P1 .. I t2. ©/HKQ/ H · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box l 128, Oshkosh WI 54903-1 t28. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR ![.vou are a contractor particlp,a,t,~nl~ in th~Permit F,~e .4cq.(~ttnt .~tem and have adequate funds, check here if_you want this nrocessett throueh your account ~ JOB ADDRESS /<:~3~- (~4]~, I .~ o + OWNER co -x cro CHECK [] ALL APPLICABLE USE CATEGORY ~]~..in~le Family r'lDuplex E]Multi-Family t2]Renta! SERVICE ElNew I-ITemporary TYPE ElChange ~:~ot Applicable nCommorcial I-IIndustrial I-IOverhead ~'ot Applicable r'lUnderground FILL IN TIlE APPROPRIATE BLANK WITH THE NUMBER Volts Phase . Amps ~-,,,-o Switches # Fixtures #. CHECK ~ ALL APPLICABLE ClRange ClDishwasher EIFan OR Blower [3Furnace 1'3Motors E3 Gas Pumps ElGarbage Disposal EIDryer nWatcr Heater ElA/CElother.../~,,~nlj-~e- EIElectric Sign DESCRIPTION OF ALL .WORK BEING DONE VALUE (Including labor and all materials including light fixtures)