HomeMy WebLinkAbout0099573-Electric (conduit)OSHKOSH
ON THE WATER
.lob Address 20 W 12TH AVE
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RICHARD A WILKINS
Category 634- Residential-Service Change
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99573
Create Date 01/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Duplex / Repair broken conduit on riser.
Work
Fees: Valuation
Issued By:
$300.00
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
OSHKOSH
ON THE WATER
Job Address 20 W 12TH AVE
Contractor ARROW ELECTRIC OF OSHKOSH
Service ~) New O Change
Volts 120 / 240
C!TY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner RICHARD A WILKINS
Category 634- Residential-Service Change
O Temp I Type ~ Overhead
Circuits 0
Amps 200 Switches 0
No 99573
Create Date 01 ~24~2003
Plan
._(~)_ Underground
Fixtures 0
Receptacles 0
Appliances
Use/Nature of Duplex / Repair broken conduit on riser.
Work
Fees: Valuation
Issued By: /
$300.00 Plan Approval $0.00 Permit Fee Paid $20.00
[] Permit Voided
Date 01/24/2003
In the performance of this work I agree to perform ail 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 : ARROU ELECTRIC
PHONE NO. : 92D4264220
Jan. 23 2003 11:22RM P3
I- cd
City or Oshkosh
Division of Inspection gervi~es
P.O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax {920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
lncoraplete application~ will not be processed.
O/HKOJH
· Application(s) and fee(s) can be brought to Civj 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
![ yqu are a contractor parttcipatinj~ in the Permit F~e Accottnt_~y.vtem and have adequate funds, ehe.ck_h_~r~
i£vou want thi$~orocessed through your a~.¢ount '~
DATE //-,~25//~-,~ .
JOB ADDRESS_ ..~O {.D. 19q4'
CItECK'~ ALL APPLICABLE
USE CATEGORY
'[:]Single Family [~uplex CIMulti-Family
SERVICE ANew FI.Temporary
t-lChang¢ ~Igt Applicable
r-lRental
TYPE
~Commcmial Cllndustrial
~l~)verhead CINot Applicable
CiUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /,.,20 /,Rqo Receptacles # Circuits
Phase'_~LLP/
Amps _ z~.oo Switches # Fixtures
,CI~.CK [] ALL APPLICABLE
CIRange FIDishwasher ClGarbage Disposal
CIFan OR Blower ClFumace nA/C
FIMotors nGas Pumps nOther
..DESCRIPTION OF ALL WORK BEING DONE
' ~..~'$,~
[3Dryer r3Water Heater
CIElectric Sign
VALUE (Including labor and ali materials including light fixtures} $. ~O{).°~
MASTER ELECTRICIAN ~ ,'La ..~/-, ~ ~,,.~r'J
3/02