HomeMy WebLinkAbout0099897-Electric (receptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2820 W 20TH AVE
ARROW ELECTRIC OF OSHKOSH
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOAN HEDRICK
Category 812 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 0
Switches 0
No 99897
Create Date 02/20/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install recepatcle for Northeast WI Radon Specialists.
Work
Fees: Valuation
Issued By:
$85.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 02/20/2003
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
OSHKOSH _
o.
,Job Address /2J~Z0'W 20TH
Contractor
Service ~) New
Volts
AVE
ARROW ELECTRIC OF OSHKOSH
O Change
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner JOAN HEDRICK
Category 612 - Residential-Single Family Addition/R
(~ Temp I Type (~ Overhead
Circuits 0
Switches 0
Amps 0
No 99897
Create Date 02/20/2003
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFPJ Install recepatcle for Northeast WI Radon Specialists.
Work
Fees: Valuation
Issued By:
$65.00 Plan Approval
$0.00 Permit Fee Paid $20.00
Date 02/20/2003
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 Telephone Number
(920) 426-4252
FRI~ : RRROI,J ELECTRZC PHONE NO, : 92042G4220 Feb. 20 2003 12:24PM Pi
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Q/HKQ/H
· Application(s) and fee(s) can be brought to City Hall, Room 205 or rnailcd to Inspection Services, PO Box 1128,
Oshkosh WI $4903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
l_f roy ars a contractor varticipatin~ in the_Permitrffee acco. ual System an.d have ade. quate funds, check her. e.
(f_vot~ w~tn~ thi.~ t~roces~ed throu~h your account ~ld
DATE~
JOBADDR~SS ~-~-$~_-d~0.
owNER
CONTRACTOR /~.,-r~co
CHECK [i~ ALL APPLICABLE
CA~Z~OR~
ingle Family 13Duplex [3Multi-Family
SERVICE [FNew r'lTemporary
I'lChange j~[ot Applicable
[3Rental
TYPE
[3Commercial r"lIndustrial
rlOverhead ]i~Tot Applicable
[3Underground
FILL IN TILE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches
Circuits #
Fixtures #
CItECK I~ ALL APPLICABLE
ORange DDishwasher ElGarbage Disposal
[~Fan OR Blower ElFumace 12A/C
OMotors r-IGas Pumps r-lOther _
ClDryer E]Water Heater
121Electric Sign
DESCRIPTION OF ALL WORX< BEING DONE
VALUE (Including labor and all materials including light fixtures)
Jo
3/02