HomeMy WebLinkAbout2003-Electric (water heater)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
309 WASHINGTON AVE
B. Q. ELECTRIC SERVICES
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner S T C MOKLER PROPERTIES LL
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Type I~ Overhead
Circuits 0
Switches 0
No 99976
Create Date 02/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances ¢Vater Heater
Use/Nature of MULTI-FAMILY/RENTAL/Emergency install of a hot water heater.
Work
Fees: Valuation
Issued By:
$70.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 02/27/2003
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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
(920) 233-9005
City of Oshkosh
i) ivision of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
rhone (920) 236-5050
Fax (920) 236-5084
RECEIVED
FEB 2 7 200,~
DEPARTIV~ENT OF
ELECTRICAL P E R~ i~J~ i~.. [~'~t)~lE m T
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THE WATER
Application(s) and fee(s) can be brought to Cit~ 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 $1-00.00 plus the
normal permit fee, which ever is greater.
OR
,.t'vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
ir you want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
F'lSingle Family
SERVICE F1New
F1Change
I-1Duplex ~Multi-Family
F1Temporary
' FlN°t Applicable
'Rental
TYPE
[] Commercial [] Industri al
F1Overhead F1Not Applicable
nUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[]Range F1Dishwasher []]Garbage Disposal
FlFan OR Blower F1Furnace EIA/C '
F-1Motors [] Gas Pumps []Other
· v_,t '-
F1Dryer ~Water Heater
nElectric Sign
,VALUE (Including labor inchd~g ~ht~xtures) $
3/02