Loading...
HomeMy WebLinkAbout0100880 EOSHKOSH ON THE WATER Job Address Contractor Service Volts 1673 1679 MARICOPA DR ARROW ELECTRIC OF OSHKOSH [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner ARNOLD F HENKE Category 633- ResidentiaI-Multi-FamilyAddition/Rem Type I~ Overhead Circuits 0 Switches 0 No 100880 Create Date 04/21/2003 Plan ~ Underground Fixtures Receptacles Appliances HotTub Use/Nature of Multi-Family/Install disconnect & recept, for hot tub. Work Fees: Valuation Issued By: $900.00 Plan Approval $0.00 Permit Fee Paid $40.00 Date 04/21/2003 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 P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 Telephone Number (920) 426-4252 = F~OH : ARROU ELECTRIC PHONE NO, : 9204264220 ARr. 17 2003 10:iSAM P2 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh. WI 5490.3-1130 Phoue (920) 236-5050 Fax (920) 236.5084 O_/'HKOjH ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided, Incomplete applications ~'ill 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 ¥ou,.are a contraCtOr participating in the Permit Fee Account $~stem and have adequ.ote funds, check her~ (f.vou want this processed through vouLnC_~O.l~nt ~' CHECK ~ ALL APPLICABLE USE CATEGORY DSingle Family SERVICE DNexv DChange I"lDuplex ~Multi-Family DTemporary DNot Applicable tqRental TYPE I-ICommercial []Industrial DOverhead DNot Applicable ElUnderground FILL IN THE APPROPRIATE BLANK WITH TILE NUMBER Volts - I ReCeptacles # Phase Amps Switches # Circuits Fixtures C[IECK [] ALL APPLICABLE nRange DDishwasher ~Garbage Disposal I-IFan OR Blower DFumaee EIA/C [] Motors [] Gas Pumps l~].O~er _t~ o DDryer DElectric Sign FlWater Heater DESCRIPTION' OF ALL ,'VORK B I,.NG DONE_ i 6 T'&L,L VALUE (Including labor and all materials including light MASTER ELECTRICIAn' 3102 ,-to .oo