HomeMy WebLinkAbout0099622-Electric (water heater)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
615 WISCONSIN ST
HOEHNE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOHN T/VICKI J PORIOR
Category 623- ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 0
Switches 0
No 99622
Create Date 01/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances ~Vater Heater
Use/Nature of DUPLEX/Wire new hot water heater.
Work
Fees: Valuation
Issued By:
$150.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 01/29/2003
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 813 E RIVER DR OMRO WI 54963 - 0 Telephone Number
920-685-0199
Division of Inspectiom Services
21S Church Avenue
P-O. Box
Oshkosh, WI S4903-1130
Fax (920) 226-5084
Phone (920) 236-5046
ELECTRICAL PERi, IT APPLICATION
Ail ±nfcr~ation ,after bold categories must be provided.
IncomPlete applications wiil not be pro'cessed.
RENTAL
TEMPORARY
COMMERCIAL iNDUSTRIAL
NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND
.:.NO.. OF FIXTURES SWITCHES
NOT APPLICABLE
RECEPTACLES CIRCU-iTS
"; CHECKi:" .i A~L APPLICABLE [//
" ".'F~ANGE~i WATE~ HEATER
D.i. SR~WASHER ..... · P~ O~ BLOWER
ELECT~i C SIG~ MOORS
/ PHASE
GARBAGE DISPOSAL DRYER_ ..
FURNACE A/C__
~AS PUMPS OTHER
Submit payment with application. Failure-to pay within 30' days will result in
fees being-doubled or $'100.00 plus' the normal permit fee, which ever is
g~eater.
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