HomeMy WebLinkAbout0100881-Electric (service change)OSHKOSH
ON THE WATER
.lob Address 1716 HICKORY ST
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DENNIS M/ANNE FLYNN
Category 634- Residential-Service Change
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100881
Create Date 04/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Repair upper wires & pipe for service
Work
Fees: Valuation
Issued By:
$700.00
Plan Approval
$0.00 Permit Fee Paid
$30.00
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
FRO~ : ARROW ELECTRIC
PHONE HO. : 9204264220
Awr. 17 2003 10:iSAM Pi
City of Os~ko.qh
Division or'Inspection S~rviccs
P.O. Box I! 30
Oshkosh, Wl 54903-1130
Phone (920) 256-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If volt ore a contractor partlcipatin~ in thc Permit FCq Accot~ot System and have adequate_fund.~, chec. k here
if you ~t, an! thj$.t~roces.ve_d thro. u~h }/out- account ~
co xl .ncroa Ar {. Co & Cs C_..
CHECK [] ALL APPLICABLE
USE CATEGORY
[3~m~e Family nDuplex EtMulti-Family
SERVICE F1New [~]Temporary
nCha.nge rYlNot Applicable
[DRentaI nCommercial nlndustrial
TYPE [~Overhead EINot Applicable
ElUnderground
FILL IN THE APPROPILIATE BLANK WITH THE NUMBER
Volts - I 2.0 / ~. ~ Receptacles # Circuits #
Phase f-=~i ~0~, L~
Amps ~ Switches # ' Fixtures #
CHECK I~ ALL APPLICABLE
ORange nDishwasher ElGarbage Disposal EIDryer
FIFan OR Blower ElFumace FIA/C IDElectric Sign
l']Motors [-1 Gas Pumps 1'3Other
DESCRIPTION OF ALL WORK BEING DONE ~./-,,¢~ l ~ _ L) ~04~ & ~- /.~ t L(=-S
[3Water Heater
VA]LIvE (Including labor and all materials including light fixtures) S