HomeMy WebLinkAbout0099610-ElectricOSHKOSH
ON THE WATER
.lob Address 1625 DEERFIELD DR
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL P FORD/P SCANLAN
Category 612 - Residential-Single Family Addition/Ret
Amps 0
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99610
Create Date 01/17/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Wiring for finishing off the basement to include a Family room, office, laundry room and storage area.
Work
Fees: Valuation
Issued By:
$400.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 01/28/2003
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 ~ RRR[/~ ELECTRIC
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-$050
Fax (920) 236-5084
PHOKE NO. : 9L:D04264220
ELECTRICAL PERMIT APPLICATION
All information after bold categories must bc provided.
Incompletc applications will not be processed.
Jan. 213 2003 00: 15AM Pi
O. ZHKO_/'H
ON T~ WAT~'R -
. 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. Commenein§ work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater,
OR
]_f_you are a ¢_onrractor p. articipating in the.permit Fee Account System and have adequate .~tnd,v, check here
· i_[_ZO_9__~ant this processed through ~our agcount ~
OWNER
CHECK lit ALL APPLICABLE
USE CATEGORY
[~]{~in$1e Family l, IDuplex FlMulti-Family
SERVICE anew DTemporary
F1Cl-~mge ~lot Applicable
[DRental
TYPE
F1Commercial l=llndustdal
ElOverhead l~ot Applicable
ElUnderground
FILL IN TR'K APPROPRIATE BLANK WI'I'tt TIE NUMBER
Volts../.7-0 .I ~l~'o Receptacles #
?base
Amps S~vttches #,
Circuits
Fixtures
CHECK !~I ALL APPLICABLE
ElRange EIDishwasher
EIFan OR Blower ~Furnace
ElMotor~ nGas Pumps
DESCRIPTION OF ALL WORK BEING DONE
EIGarbage Disposal
nOther
I-IDryer
IDEtectric Sign
t,.,L-;.~y, ..
FDWater Heater
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN_ /~, '~"~
~20,~