HomeMy WebLinkAbout0099806-ElectricOSHKOSH
ON THE WATER
.lob Address 620 BROAD ST
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HABITAT HUMANITY OSHKOSH INC
Category 611 - Residential-New Single Family Wiring
Amps 1 O0
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99806
Create Date 12/31/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of NSFR/Install service and wiring for new home.
Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval
$0.00 Permit Fee Paid
$90.00
Date 02/12/2003
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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· 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
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
i'f vou want this processed through your account []
JOB ADD.SS"
cHEcK [] ALL APPLICABLE
USE CATEGORY
l~Single Family .. rqDuplex . rqMulti-Family l-lRental
SERVICE l~qew. :,. [:3TemPorary TYPE l:~OVerhead [~Not Applicable
l-IChange l-INot Applicable l-IUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /.~ /.~t~ Receptacles # Circuits #
Phase / ~'
Amps /~,o Switches # Fixtures #
CHECK [] ALL APPLICABLE
[Z]Range mDishwasher mGarbage Disposal [ZlDryer
mFan OR Blower [Z]Furnace FIA/C mElectric Sign
[] Motors [] Gas Pumps [] Other
[2Water Heater
DESCRIPTION OF ALL WORK BEING DONE
"'- 'L ~;" -~....~:.. -,~ -,~'~-.. ....... .t ,.''.~ ':'-:.L l_~ ' '"£!'~.'. . ' . L';..~ L~..~..;..~..;! [.....;~J{' .... ~'_'Z: ,,.'~,~,~-
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN /47/~-~ -~/~'~ ~.~ ~
3/02