HomeMy WebLinkAbout0102218-Electric (bath)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
407 W 15TH AVE
ARROW ELECTRIC OF OSHKOSH
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JOSEPH W/STEPHA NICHOLS
Category 623- ResidentiaI-DuplexAddition/Remodel
Type I~ Overhead
Circuits 0
Switches 0
No 102218
Create Date 06/16/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of DUPLEX/RENTAL/Add bath fan, light for med cabinet and separate 20amp circuit for bath outlet.
Work
Fees: Valuation
Issued By:
$490.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 06/16/2003
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
?.0. Box 11 ~0
Oshkosh, WI ~4903-11~0
Phonc (920) 236-50~0
F~x (920) 236-5084
O/H, KO',,7
ON T~
ELECTRICAL PERMIT APPLICATION
Ail information after bold categories must bc provided.
Incomplete applica(ions will not be processed.
· Application(s) and fee(s) can be brought tO City Hall, Room 205 or mailed to Inspection SevAces, PO Box 1128,
Oshkosh WI :54903.1128, Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If YOU are,, a c~,n~ra, ctor participating in. tbq Perm!~r~ee c4,,cc, ount, System and hav~ adequate fun, ,ds, check i~ere
JOB ADDRESS ~,0,,-7,
CHECK [] AI, L APPLICABLE
USE CATEGORY
E3Single Family E~uplex
l-lMulti-Family
SERVICE tr-INew
F3Change
[3Temporary
IZINot Applicable
12~¢ntal E3Commercial l, llndustrial
TYPE IZlOverhead F1Not Applicable
l-lUnderground
FILL IN TILE APPROPRIATE BLANK WITH TI-L~ NUlVIBE~R
Volts . t Receptacles #, Circuits #
Phase
Amps Switches # FLxtures #
CHECK [] ALL APPLICABLE
EIKange [3Dishwasher IZlGarbage Disposal EIDcycr IZIWater Heater
E3Fan OR Blower UlFumace ~MC ~ ~El~ct~c Si~.
nMotors ~GasPumps ~Other_..~ATfi_. r_~ . E~~
D scmP o ' OF
VALUE (In¢ludlng labor an8 al/tiia~ria~s i~tluding light t'~xtures) $
Id Wt:lLl:':GO £00;~ cji -un_r O~.~t;'9~t,8c?6 : 'ON EINOHcl DI~l.L3::l'l::t glO~t;~d : i.,El~ld