HomeMy WebLinkAbout0101919-ElectricOSHKOSH
ON THE WATER
.lob Address 3011 MOCKINGBIRD WAY
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARKW/KELLIE S SHOWERS
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 42
Switches 0
No 101919
Create Date 04/24/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Fan or Blower, Dishwasher, Furnace, Garbage Disposal, A/C, Dryer & Water Heater.
Use/Nature of NSFR/ Install service and wiring for new home.
Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval $0.00 Permit Fee Paid
$90.00
Date 06/03/2003
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
City-of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
> CEIVED
JUN 0 5 2_005
ELECTRICAL
AIl information after bold cate~(~i:~[¥¥rk~uPsi~
Incomplete applications will not be p~ocessed,
O/HKO/H
ON T~ %~AT~R
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 S 100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatin.g in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JOB ADD.SS
CONTRACTOR
DATE ~ 2.. b~
CHECK [] AI,L APPLICABLE
USE CATEGORY
~ii~Single Family ElDuplex gtMulti-Family I-IRental
SERVICE I-1Ne~v IZlTemporary TYPE
F1Change IZlNot Applicable
[] Commercial [] Industrial
IZlOverhead I-INot Applicable
Jia',,Underground
FILL IN THE APPROPRIATE BLANK WITH THE NqJMBER
Volts - [ 2~0 / 2-c/D Receptacles # Circuits # z~ 2__
Phase
Amps
CHECK [] ALL APPLICABLE
.~ange
n OR Blower
{-lMotors
"~lJ)ish~vasher
Gumace
as Pumps
oi &b age Disposal
her
DESCRIPTION OF ALL V¢ORK BEING DONE
E1ryer
ectric Sign
/~aterHeater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN //~//~ .~ E~)//~g5
3/02