HomeMy WebLinkAbout2003-ElectricOSHKOSH
ON THE WATER
.lob Address 807 OREGON ST
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~ Change
Volts 120/208
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ROHNERS HOME FURNISHINGS INC
Category 643- Commercial-Addition/Remodels
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101639
Create Date 04/23/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Commercial/HobbyTown / Remodeling. *Any additional value/work will require additional permits.
Work
Fees: Valuation
Issued By:
$4,800.00 Plan Approval $0.00 Permit Fee Paid
$105.00
Date 05/20/2003
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
Ci .t:y of Os~hkosh C E l ~L~~fH
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130 RE
Phone (920) 236-5050
Fax (920) 236-5084
ON THE WATER
ELECTRICAL pERMIT APPLICA' I 0 2003
All information after bold categories must be provided.
Incomplete applications will not be ~g?~s~sl~?I~RTMENT OF
. D£VELOPM£NT
· 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 ~vork without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, ~vhich ever is greater.
OR
I£vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
~f you want this processed through your account []
· lOB ADDRESS ~(~q ~.~l~k) ~'~
OWNER lt~l 0 ti~_ L~ t'/J ~'~/~A,./
CONTaaCTOR/'
CHECK [~ ALL APPLICABLE
USE CATEGORY
[] Single Family ' []Duplex []Multi-Family []Rental
SERVICE F1New IZITemp0rary TYPE
[-1Chang~ ~Not Applicable
/j~'ommercial []industrial
IZIOverhead r-]Not Applicable
IDUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts -/o~O /ag. Dg Receptacles # 6/A Circuits # fYi/q(/
Phase ~ /
Amps ~ Switches~ ~ F~tures~ _~
/ ,
CHECK [] ALL APPLICABLE
F1Range I'lDishwasher F1Garbage Disposal F1Dryer E]Water Heater
FlFan OR Blower IDFurnace F1A/C l-lElectric Sign
IZlMotors F'lGas Pumps []Other
DESCRIPTION OF ALL WORK BEING DONE '~/r'k/~Z t~g.~"-,~/,dL.- .~_~ ~r2.'~20T/¢
VALUE (Including labor and a~aterials.including light fixtures) $
3/02