HomeMy WebLinkAbout2003-Electric (sunroom)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1231 WASHINGTON AVE
ARROW ELECTRIC OF OSHKOSH
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROMUALD B SIMEONE ETAL L TRUST
Category 612 - Residential-Single Family Addition/Ret
Type I~ Overhead
Circuits 1
Switches 5
No 104218
Create Date 09/16/2003
Plan
~ Underground
Fixtures
Receptacles
3
10
Appliances
Use/Nature of SFR/Wire sunporch.
Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid $75.00
Date 09/16/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 Telephone Number
(920) 426-4252
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspect/on Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information at, er 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 l 128,
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 ar~.a contractor t~articivatine in the Permit Fee/Iccount Swtem and hove adequate funds, check here
i~ ¥ou want tills oroce$$~d throueh your aveount ~
CHECK g~ ALL APPLICABLE
ing ATEGORY
le Family rqDuplcx ~Multi-Family
SERVICE C~New E3Temporary
r"lChange VINot Applicable
URental vICommercial Vll~dustrial
TYPE CIOverhead I~Not Applicable
VIUnderground
FILL IN 'file APPROPRIATE BLANK WITH ~ _NUMBER
Volts ' I Receptacles # /~
Phase.
Amps Switches # ~
Circuits #
Fixtures
CHECK [~ ALL APPLICABLE
VIR~nge l~Dishwasher DGarbage Disposal
~Fan OR Blower VIFumace ~A/C
rqMotors I'lGas pumps I~Other .
DESCRIPTION OF ALL WORK BEING DONE
I~Dryer
V1Elec~c Sign
ClWater Heater
VALUE (Including labor aRd all materials including ligttt fixtures)
Id WUTP:GO £00a 9] 'daS
oaa~9at~oa6: 'ON BNOHd
3/02
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