HomeMy WebLinkAbout0101890-Electric (garage)OSHKOSH
ON THE WATER
Job Address 1023 ARTHUR AVE
Contractor TRUCK ELEC
Service [~ New (~) Change (~) Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BARBARA A GOYKE
Category 612 - Residential-Single Family Addition/Ret
No 101890
Create Date 05/16/2003
Plan
Type I~ Overhead ~ Underground
Circuits 3 Fixtures
Switches 4 Receptacles
Appliances
Use/Nature of SFR/Power to garage. Install back door light. Install heater in back hall. Install switch circuit for dryer. Micro change panel.
Work
Fees: Valuation
Issued By:
$1,600.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 06/02/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
R- CEIVED
JUN 0 2 2005
ELECTRICAL P E ~'~,.. ~ P~J-~.TI'~ N
AIl information after bold ~ategoh~'~[]t ~I~(~alVIENT
Incomplete applications will not be processed.
O_/'HKO/H
ON TNF ".MATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspechon 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 you are a contractor participating in the Permit Fee Account SFstem and have adequate funds, check here
i£ vou want this processed through your account []
CHECK [] ALL APPLICABLE
le Family F1Duplex F1Multi-Family
SERVICE []New IZlTemporary
[]Change 13hx~t Applicable
F'lRentai F1Commercial IZllndustrial
TYPE []Overhead Elliot Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # 4
Phase
Amps Switches # %/
Circuits
Fixtures
CHECK [] ALL APPLICABLE
F1Range []Dishwasher []Garbage Disposal []Dryer []Water Heater
[]Fan OR Blower F1Fumace []A/C []Electric Sign
FIMotors F'lGas Pumps FIOther
DESCRIPTIO_N OF ALL WO~ ~1~1~, ~., ~. BEING DONE ~j/,,3 t~Z ~ ?/.~. ~/ ~'¢",
dO
3/02