HomeMy WebLinkAbout0096627-Electrtic 0 CITY OF OSHKOSH No 96627
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1185 SAWTELL CT Owner KAREN L SCHUH/TAMI SCHMUDE Create Date 08/14/2002
Contractor ARROW ELECTRIC OF OSHKOSH Category 612 Residential Single Family Addition /R Plan
Service p New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 120/240 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Appliances
Use /Nature of SFR/ Addition off of rear of the home 2 bedrooms 1 bath.
Work
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $75.00
Issued By: Date 08/14/2002
1" Ei Permit Voided
In the performa of this work I agree to perform all work pursuant to rules governing the described construction.
Signature f ,1_ ,E t .\V Date 0
0 Agent/Owner
Address P 0 BOX 3960 280 E FERNAU AVE OSHKOSH WI 54903 3960 Telephone Number (920) 426 -4252
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 O.f HKOJH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City 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 $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
DATE b`1ic�2
JOB ADDRESS /JO Si►w c f A'
OWNER f
CONTRACTOR oc.J (Icc
CHECK El ALL APPLICABLE
U E CATEGORY
Single Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead 'Tot Applicable
❑Change l Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts o /.0 Receptacles Circuits
Phase er
Amps /co O Switches Fixtures
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE AdA %4`a•✓ eterof Q. a. o42
N o"- L d,-oo..j X3.4
VALUE (Including labor and all materials including Tight fixtures) $.075-00, ea
MASTER ELECTRICIAN M4 S ��w�,.
3/02