HomeMy WebLinkAbout0095882-Electric (service relocation) 0 CITY OF OSHKOSH No 95882
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1185 SAWTELL CT Owner KAREN L SCHUH/TAMI SCHMUDE Create Date 07/15/2002
Contractor ARROW ELECTRIC OF OSHKOSH Category 634 Residential Service Change Plan
Service IQ New f♦ Change Q Temp Type 0 Overhead 0 Underground
Volts 120/240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Appliances
Use /Nature of SFR/ Underground service relocation.
Work
Fees: Valuation $700.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: \FYI Date 07/16/2002
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 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 Of 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 �57?--
JOB ADDRESS S 7 LL Lover
OWNER
CONTRACTOR Ara.) e/ecfr /c
CHECK H ALL APPLICABLE
USE CATEGORY
ngle Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
,.Change DNot Applicable nderground
//70i/6
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 0 a 4(7 Receptacles Circuits
Phase
Amps cOO Switches Fixtures
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher DGarbage Disposal ❑Dryer DWater Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
/,l aderg''o ti I -s1 vIc? rPlor a,c6w
VALUE (Including labor and all materials including light fixtures) 700
MASTER ELECTRICIAN jk
3/02
Electric Permit Work Card
Job Address 1185 SAWTELL CT Permit Number 95882 Create Date 07/15/2002
Owner KAREN L SCHUH/TAMI SCHMUDE Contractor ARROW ELECTRIC OF OSHKOSH
Category 634 Residential- Service Change
Service 10 New Change 0 Temp 0 N/A Type 0 Overhead Underground 0 N/A
Volts 120/240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Fee $30.00 Value $700.00
Appliances
Use/Nature SFR/ Underground service relocation.
of Work
Inspections:
Date Type Service Inspector Jon Fischer approved
Faxed Request
7/22/02 approved
7/22/02 called in
7/22/02 mailed in
DateTme requested: 07/17/2002 08:34 AM Notice Type: Phone Number: 426 -4252
Access:
Building open
Ready Datefine: 07/22/2002 02:45 PM Requested by: ARROW ELECTRIC OF OSHKOSH Brea gi g'
0 Reinspect Fee 0 Fee Wavied Reinspect Fee Paid