HomeMy WebLinkAbout0087278-Electric (storm damage)CITY OF OSHKOSH No s727s
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 556 JEFFERSON ST Owner TIMOTHY/SABINA SCHIESSL Create Date 07/05/2001
Contractor ARROW ELECTRIC OF OSHKOSH Category 633 -Residential-Multi-Family Addition/Re Plan
Service New Q Change ~ Temp Type ~ Overhead ~ Underground
Volts 120/240 Circuits Fixtures
Amps 200 Switches Receptacles
Appliances
Use/Nature of ULTI-FAMILY /RENTAL /STORM DAMAGE, REPLACE CONDUIT AND WIRES SINGLE PHASE
Work
Fees: Valuation~~ $2,646.74 Plan Approval $0.00 Permit Fee Paid $75.00
Issued By: ~J r ~ Date 07/05/2001
^ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 Telephone Number (920) 426-4252
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
n~ Oshkosh, WI 54903-1130
y~ Fax (920) 236-5084
ON THE W/~iER
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE (.~ /~~ls /
JOB ADDRESS ~,5 ~p -~~'`'F~@,~$y~! S'T'r e CT
OWNER in1 ~~;e~SS~
CONTRACTOR /~i'i'aw ~ ~eC~i'~ %G
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY D,jJPLEX ULTI-FAMI RENTAL COMMERCIAL INDUSTRIAL
.SERVICE `' NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHE UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS ~p n VOLTS ~tp / S/v PHASE ~
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE S-~3f~rt ~ArrtRS~ , ~~~ V~pti
L o: l R..+: ~ mod- i.v ; rt S .
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater. ~ --~~~~
VALUE (Including labor and all materials including light fixtures) $ ~(ay~,, ~~'~'
MASTER ELECTRICIAN