HomeMy WebLinkAbout0094656-Electric (remodel)
G
OSHKOSH
ON THE WATER
Job Address 304 HIGH AVE
CITY OF OSHKOSH
No 94656
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
DANIEL ULlNDA M MINGUS
Create Date OS/24/2002
Contractor
ARROW ELECTRIC OF OSHKOSH
o Change
o Temp
Category 643 - Commercial-Addition/Remodels
Type 0 Overhead
Plan
o Underground
Service
p New
Volts
Circuits
o
o
Fixtures
o
o
Amps
o
Switches
Receptacles
Appliances
Use/Nature of Commercial/ Retro building to owners requests.
Work
Fees: Valuation
Issued By: r
$3,800.00
Plan Approval
$0.00
Permit Fee Paid
$90.00
Date OS/24/2002
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address
POBOX 3960 - 280 E FERNAU AVE
OSHKOSH
WI 54903 - 3960
Telephone Number (920) 426-4252
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEI.
MAY 2 ~~QtH
ELECTRICAL PERMIT APPLICAZI
All infonnation after bold categories must be . 'ARTMENT OF
Incomplete applications will not be proce~Oc . NITY DEVELOPMENT
. 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
ifvou want this vrocessed through your account 0
JOB ADDRESS
OWNER
CONTRACTOR
304 1-11 &11 :sr.
n.DATE s~Jo#-
f I
kJZo tV 13./ e(;fo c.
CHECK ltr ALL APPLICABLE
USE CATEGORY
DSingle Family o Duplex
DMulti-Family
DRental .... ""-'~mmercial
H_._.......,
o Industrial
SERVICE DNew
o Change
DT~_9Jary
..QN'ot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
/
Receptacles #
Circuits #
Volts .
Phase
Amps
Switches #
Fixtures #
CHECK ltr ALL APPLICABLE
ORange
DFan OR Blower
o Motors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE )?6AeO 80/LDIM!.::r -ro Otd/f.JfKS-
~ew.tS~
VALUE (Including labor and all materials including light fixtures) $ -:3800
l\fASTERELECI'RIClAN4~ 9&<~
3/02