HomeMy WebLinkAbout0099572 EOSHKOSH
ON THE WATER
Job Address 706 MERRITTAVE
Contractor ARROW ELECTRIC OF OSHKOSH
Service ~) New O Change
Volts 120 / 240
CIT? OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Am ps 100
(~ Temp
Owner
Category
Circuits
Switches
PATRICIA C MACHO
634 - Residential-Service Change
Type (~ Overhead
0
0
No 99572
Create Date 01/24/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR / Upgrade service from 60 to 100 amp
Work
Fees: Valuati~/n
Issued By: ~'
$1,100.00 Plan Approval
$0.00 Permit Fee Paid $60,00
[] Permit Voided
Date 01/24/2003
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
(92O) 426-4252
FREI'I : F~ROI,J ELECTRIC
City of Oshkosh
Division of Inspection Sewi¢¢s
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
I:ax (920) 236-5084
PHONE NO.,: 9284264220
-f-OF-' / CFO,,,V
ELECTRICAL PERMIT,APPLICATION
All information aftcr bold catcgo'ri~s must be provided.
Incomplete applications will not bc processed-
23 2003 11: 22AM P1
I-o,,3ect ~t/---~1~
_O_/HKO/H
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 ¢ontractOr participating tn thc Permit Fee ;4ccount 5v_,~tem and have ad~~ check here
DATE ]
CHECK ~ ALL APPLICABLE
USE CATEGORY
ingle Family ElDuplex F'lMulti-Family
SERVICE ElNew ElTemporary
~hang¢ V1Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~ Receptacles #.
Phase / pr ,
Amps ~ Switches #.
ElRental rlCommercial Dlndustrial
'tYPE _~)verhead r'lNot Applicable
ElUnderground
Circuits #,
Fixtures ~_.
CHECK El ALL APPLICABLE
ORange ElDishwasher [3Garbage Disposal
OFan OR Blower EIFumace OMC
r'lMotors E3.Gas Pumps ClOther
DESCRIPTION OF ALL WORK BEING DONE
ElDryer []Water Heater
VIElectric Sign
VALUE (Including labor and all materials including light fixtures)
~IASTER EL]~CXmC~A~ ._ r'Ie,'Z, -ff~, -- ~,-/