HomeMy WebLinkAbout0093370-Electric I CITY OF OSHKOSH No93370
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1126 POWERS ST Owner OWEN /KIMBERLY A JONES Create Date 04/02/2002
Contractor ARROW ELECTRIC OF OSHKOSH Category 612 - Residential - Single Family Addition /R Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 120/240 Circuits 0 Fixtures 3
Amps 0 Switches 3 Receptacles 4
Appliances
Use /Nature of SFR/ Electrical work in dining room & exterior lights.
Work
Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: Km Date 04/02/2002
❑ 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
re Division of Inspection Services
AV
215 Church Avenue
P.O. Box 1130
/��/ Oshkosh, WI 54903 -1130
O/ f I"O1 Fax (920) 236 -5084
ON THE WATER phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
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`1 DATE 9. - 1- 0?-
JOB ADDRESS I i a.� Rowe -rs `� 6A
OWNER 0(0&v 3on-e 5
CONTRACTOR A'ro c.J ( e C -fr (C
CIRCLE ALL APPLICABLE
USE CATEGORY INGLE FAMILY . )DUPLEX MULTI - FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY (NOT APPLICABLE')
TYPE OVERHEAD UNDERGROUND (.. NOT APPLICABLE
NO. OF FIXTURES _3 SWITCHES - RECEPTACLES CIRCUITS
AMPS VOLTS 1210 / 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 c 4 (c& I Work , fri iy/f1 f /7O `' , " 2
J 1
• 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) $/
MASTER ELECTRICIAN /4e ,' " Bl
Electric Permit Work Card
Job Address 1126 POWERS ST Permit Number 93370 Create Date 04 /02/2002
Owner OWEN /KIMBERLY A JONES Contractor ARROW ELECTRIC OF OSHKOSH
Category 612 - Residential - Single Family Addition /Remodel
Service 3 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground • N/A
Volts 120/240 Circuits 0 Fixtures 3
Mips 0 Switches 3 Receptacles 4
Fee $35.00 ❑ Value $800.00
Appliances
Use /Nature SFR/ Electrical work in dining room & exterior lights.
of Work
Inspections:
Date 04/05/2002 Type Rough In Inspector Jonathan Fischer approved
4/5/02 rough in ready
4/9/02 Home owner called to say that he was going to get Arrow to replace service
6/17/02 move service @11:00 am
DateTme requested: Notice Type: Phone Number:
Access:
Ready DateTme: Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date Type Service Inspector Jon Fischer 441t1,..... approved
6/18/02 temp service only approved
6/18/02 called in
6/24/02 mailed in
DateTme requested: 06/18/2002 12:22 PM Notice Type: _ Phone Number:
Access:
Ready DateTme: 06/18/2002 12:22 PM Requested by:
0 Reinspect Fee 0 Fee Wavied 111 Reinspect Fee Paid