HomeMy WebLinkAbout0105898-ElectricCITY OF OSHKOSH
105898
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date12/31/2003
832 POWERS STTHOMAS A/JOAN E WITTE
ContractorARROW ELECTRIC OF OSHKOSHCategory612 - Residential-Single Family Addition/RemodelPlan
ServiceTypeOverheadUnderground
NewChangeTemp
VoltsCircuits0Fixtures0
Amps0Switches0Receptacles0
Dishwasher
Appliances
Use/Nature of SFR/ Addition
Work
Plan Approval$0.00
Fees: Valuation$2,500.00Permit Fee Paid$75.00
Issued By:Date12/31/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
SignatureDate
Agent/Owner
P O BOX 3960OSHKOSHWI549033960(920) 426-4252
Address-Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Ciry. of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -50S4 O f HKOJH
ON ,He W.TER
ELECTRICAL PERMIT APPLICATION
Ali information after bold categories must be provided.
Incomplete applications will not be processed.
• 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 5100.00 plus the
normal permit fee, which ever is greater.
OR •
If you orest contractor participatin.gjn the Permit Fee Account System and have adequate funds. check here
if vok want this processed through your account
(� DATE 1 2. 3 D 03
JOB ADDRESS g 3 Z •� (0 t.+2 .6
OWNER 1) £ crO R e) W 1n
CONTRACTOR A U L D
CHECK 0 ALL APPLICABLE
USE CATEGORY
Mingle Family ❑Duplex DMulti- Family DRental ❑Commercial °Industrial
SERVICE DNew DTemporary TYPE °Overhead °Not Applicable
°Change DNot Applicable °Underground
FILL IN TEE APPROPRIATE BLANK WITH THE ICUNIBER
Volts _ / Receptacles r f az5 . Circuits # (/fL5
Phase
Amps Switches #. y . Fixtures >� 6
CHECK 0 ALL APPLICABLE
DRange jafYgwasher OGarbage Disposal ODryer ❑Water Heater
°Fan OR Blower DFurnace DA/C ❑Electric Sign
❑Motors OGas Pumps El Other
DESCRIPTION OF ALL WORK BEING DONE - '
VALUE (lnc1udinp labor and all materials including light ( L. o
MASTER ELECTRICIAN
3/02
id Wd02:£0 £002 0£ ' 022092K1Z6 : 'ON 3NOHd 01813373 P1O dU : WO21d