HomeMy WebLinkAbout0100179-Electric (fire damage)OSHKOSH
ON THE WATER
,Job Address 1319 ARTHUR AVE
Contractor LARK ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROBERT G EHLKE
Category 643- Commercial-Addition/Remodels
Amps 20
~) Temp
Type I~ Overhead
Circuits 1
Switches 2
No 100179
Create Date 03/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Fire job. Replace burned conduit & sw wire etc.
Work
Fees: Valuation
Issued By:
$800.00 Plan Approval
$0.00 Permit Fee Paid
$25.00
Date 03/12/2003
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 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
City of Oshkosh
Division of Inspection serVices
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
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 City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903ol 128. 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
if you want this processed through your account []
JOB ADDRESS
OWNER
DATE
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
FISingle Family [3Duplex
[-IMulti-Family FqRental
TYPE
SERVICE UlNew
FIChange
FqTemporary
UlNot Applicable
I~Commercial IDIndustrial
[3Overhead [3Not Applicable
12Underground
FILL IN THE APPROPRIATE BLANK WITH THE .NUMBER
Volts /~z(~ / ~-'/'o Receptacles #
Phase /
Amps' 20 Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
I-'lRange I'qDishwasher I'qGarbage Disposal
F1Fan OR Blower UlFumace F1A/C
FIMotors YlGas Pumps ElOther
F1Dryer
[2Electric Sign
mWater Heater
DESCRIPTION OF ALL WORK BEING DONE
~,~/tg~;/ / T
VALUE (Including labor and all materials including light fixTre~ ~,OfO/
MASTER ELECTRICIAN ~
3/02