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HomeMy WebLinkAbout0098134-Electric (re-wire garage)I~ CITY OF OSHKOSH No 98134 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1014 ARTHUR AVE Owner ROGER/ItAREN TIEDEMANN Create Date 10/22/2002 Contractor ENCOMPASS ELECTRICAL TECHNOLO Category 612 -Residential-Single Family Addition/R Plan Service New 0 Change ~ Temp Type ~ Overhead ~ Underground Volts Circuits 0 Fixtures 0 Amps 0 Switches 0 Receptacles 2 Appliances Use/Nature of Work rrect poor wiring in garage -add 30G 240V welder outlet, (1) GFI outlet at cover outlet boxes and J-box, install ground rod to panel in garage. support all Fees: Valuation Issued By: $550.00 Plan Approval $0.00 Permit Fee Paid $25.00 Permit Voided Date 10/22/2002 In the pertormance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number (920) 225-6507 10/18/2002 FRI 09:23 FAR 920 788 8987 SERVICE ~J001/009 City of Oshkosh Division of Inspection Services P.O. Hox 1 l30 Oshl;ush, WI 54903-L 130 L Phame (920) 236-5050 7~ Fax (920)236-5084 ~lfas~ ~tr/~i t~u~ try eu~ r~CCe~~~~>L ~ 72~a ~~k yeti ~~ ELECTRICAL PERMIT APPLICATION All inforrr-ation after bold categories must be provided. Incomplete applkarions will not be processed. H DN F WnrEk • Application(s) and fee(s) can be brought to City Hall, Room ZOS or mailed m Inspection Services, PO Box 1128, Oshkosh WY 54903-1128. Commencing work without permit(s) will result in fees being doubled or 5100.00 phis the normal permit fee, which ever is greater- OR !f von arc a cuntracrnr nnrttci~ating 1n the Permit Fae Account Svstem and hove a eouate funds. check here if vnu wan! this praccssrcl thruueh vour account DATE~.~e ~ JOB ADDRESS ID~~ A"Y"f'~Iity' Avg OWNER ~(~ ~~- 1 ~O~Cr'~y-a N CONTRACTOR.s'-Cy~NTDaS`~ CHECK RI ALL APPLICABLE U E CATEGORY l~Single Family ^Duplex t]Multi-Family SERVICE ONcw ©Temporary OChango Not Applicable DRental ~Commescial l~Industrial TYPE DOverhead Not Applicable DUnderground FR.L IN THE APPROPRIATE BLANK WITH THE ~lirlvtBE$ Volts / Receptacles #~~- Circuits # Phase Amps Switches # Fixtures # CHECK ~ ALL APPLICABLE ^Range DDishwashtr ^Garbagc Disposal DDrycr DWaier Heater Fan OR Blower OFumact ~A/C DElcctric Sign Motors ^Gas Pumps DOther DESCRIPTION OF ALi. WORK BEING DONE C'U,~rt'j:-~ A6A/ w f ri yr ~- I yr G~rr~Al ~ Q~~/ .3e~ aria ~ Ulcfdc ~• ouf~c~, Cl) ,ter ou Ht~ a f iaerk bc~tclt, ~~~tr,,~,,•,,J e// ~idaif~ 1r_u:i-'' ut{~t,.,~ N~{d>'d, L~t:uCV' au~J~[~ ~iar~rs act,!-6Ar~ ~hc~/~ ~-rDU.>~ nr./ rb da rzt± f i vt ao vtr ~,.t VALUE (Iacludinp labor Ind All materials including light fixtures) ~ 5~ d .U Q ~t'rYyvf -~[ ' ~ a~ • ~ ~ MASTER ELECTRICIAN ~ ~j ~/oa