HomeMy WebLinkAbout0102991-Electric (new service)OSHKOSH
ON THE WATER
.lob Address 1232 KILPS AVE - EAA GROUNDS
Contractor TOWN & COUNTRY ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner EAA
Category 641 - Commercial-New Service
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102991
Create Date 06/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Install new service 200amp UG service ONLY. *Job #929001-3088.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval
$0.00 Permit Fee Paid
$40.00
Date 07/22/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
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.
07/15/2003 WED 08:07 PAX 920 738 8987 SERVICE ~003/005
City of'Oshkosh
Division of Inspection Se~ccs
P.O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All in£orraatioll after bold categories must bc pm~ided,
Incomp]cte applicatioa~ will not bc proces~d.
a Application(s) and fee(s) can be brought to City Rail, Room 205 or mailed to Inspemion Scrvlces, PO Box 1128,
Oshkosh WI 54903-1 ! 28. Commencing work without permit(s) will result m fees b~ing doubled or $100.00 plus the
normal permit fcc, which ever is greater.
OR
If you are a contractor narticit~attn~ fn the Permit ]~ee Account System an...~__h..qve adeouate funds, check ttere
if Fou want ~bi$ processed throat, h. gout account ~
/.
JOB ADDRESS
OWNER
CONTRACTOR
CHECK I~ ALL APPLICABLE
USE CATEGORY
I~Single Family I-IDuplex [3Multi-Family
SERVICE ~New [:]Temporary
[~ Change L'3No t Applicable
I'lRental ~ommercial ["llndustria!
TYPE ..~gverhcad [21Not Applicable
J~.Jndergro~md
FILL IN T]][~ APPROPRIATE BLANK WITH THE NUMBER
Volts · /~gO / ~dQ Receptacles #., Circuits #
Phase I
Amps ,~00 Switches # Fixtures #
CIIECK l~l ALL APPLICABLE
K]Range []Dishwasher DOarbage Disposal DDryer DWatcr Heater
rqFan OR Blower DFumace DA/C I'lElectric Sign
~Motors r'lGas Pmnps [3Other
VALUE (Including labor and all materials indudins light fixtures) $