HomeMy WebLinkAbout0090095-Electric - �, CITY OF OSHKOSH Nosooss
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 117 W NEVADA AVE Owner CHERYL A WINTER Create Date 09/28/2001
Contractor ARROW ELECTRIC OF OSHKOSH Category 612-Residential-Single Family Addition/R Plan
Service � New � Change � Temp Type 0 Overhead � Underground I
Volts 120/240 Circuits 4 Fiztures 9
Amps 100 Switches 12 Receptacles 16
Appliances Fan/Blower
Use/Nature of FR/Restoration of upstairs.
Work
Fees: Valuation $3,000.00 Plan Approvai $0.00 Permit Fee Paid $75.00
Issued By: �m Date 10/04/2001
�
� Permit Voided�
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address P O BOX 3960-280 E FERNAU AVE OSHKOSH WI 54903 -3960 Telephone Number (920)426-4252
� CORRECTION NOTICE / FIELD INSPECTION REPORT �
City of Oshkosh JOB LOCATION: �` � � �G "�/Y�
Inspeclion Services Division
215 Church Avenue,PO Box 1 130 CONTRACTOR' ���D�
Oshkosh,WI54903-1130 �
Phone:(920)236-5050
Fax(920)236-5084 PROJECT TO BE INSPECTED:
BUILDING: HVAC: PLUMBING: EROSIOV CONI'ROL: PROPERTY MAINT.:
Footing Rough Rough Tracking Se[back Park.
Foundation Fumace Service Test On Silt Fence Unlicensed Veh
Rough A/C Temp Perm UnderFloor Stone Access Garbage
Insulation Fireplace UG OH Sewer/Water Straw Bales Dilapidated bld's,fences,
Re-insp. Re-insp. Re-insp. _ Re-insp. _ Re-insp. etc.
Final Final Final Final Ex[.Maint.
YTEM# CODE INSPECTION RESULTS
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VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS OTHERWISE NOTED. CALL FOR RE-INSPECTIONS PRIOR TO
CONCEALMENT AND/OR OCCUPANCY. WHEN CORRECTIONS ARE COMPLETED THE OWNER/COIVTRACTOR IS REOUIRED TO SIGN&DATE THIS
NOTICE AND RETURN IT TO THE INSPECTION DIVISION WHEN REOUESTING A RE-INSPECTION.
COMPLIANCE DATE:
ACTION TAKEN:
❑Not Approved/Ins .Report left on site ❑ Not Approved/Insp. Report given to ❑ Mailed/Faxed
Signed /`�` K/ V� � ���
Inspection Services Division Date of Inspection Phone#
I hereb certif that the violations at the above address have been corrected.
' � "- ' :CON'TRACTOR/OWNER SIGNATURE 'DATE '