HomeMy WebLinkAbout0102914 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
938 W WAUKAU AVE - EAA GROUNDS
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WINNEBAGO COUNTY
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 102914
Create Date 06/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Canon Building/Wiring for 18x26 addition to vendor building (lights, switches & recps to be determined).
Work
Fees: Valuation
Issued By:
$1,600.00 Plan Approval $0.00 Permit Fee Paid
$60.00
Date 07/17/2003
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
07/16/2003 WED 08:07 FAX 920 738 8987 SERVICE ~004/005
City of Oshkosh
Division of hlsp,~'~tion Scxvlccs
P.O. Box ! 130
Osl~cosh~ Wl 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold ca~gories must be provided.
Incomplete applicafio~ will not be processed,
· Application(s) and tee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903. ! 128. Commencing work without lmnnit(s) will rcsul! in fees being doubled or $100.00 plus the
notarial permit £ce, which ever is grealer.
OR
l.t'~ou are a contractor participatin~l tF the Pe~rnti~F,~ Account $?$tem and hav~
ii'yOu want thi~ proceg~ed.t..h.r_o.~gh your account A .... ad~auate £unds. check here
.......... -
CHECK ~ ALL APPLICABLE
USE CATEGORY
I-1Single Faraily I-IDuplex C1Multi,Family
SERVICE ~cw ~Teraporary
I-IChange ~Not Applieabl~
)~Commercial I-Iindustrial
TYPE [20wrhead E]Not Applicable
E]Underground
FILL IN ~ APPROPRIATE BLANK WITH THE NUMBER
Volts - / Receptacles #,. Circuit~
Phase
Amps Switches g. Fixtures
CHECK I~ ALL APPLICABLE
I~lRangn ClDishwasher I-IGarbage Disposal r'lDrycr f-IWater Heater
I3Fan OR Blower ~Furnacc r'iMC [3Electric Sign
CIMotors CIGas Pumps I-IOther ,,.
DESCRIPTION OF ALL WORK BEING DONE j~ y ,Z~ ~rdd/-/,'~- h~-.~.es,
VALUE (Ineluding labor and all materials including light £rxtures) $ /~ ~, ~
3/02