HomeMy WebLinkAboutElectric (temp service) /`"J CITY OF OSHKOSH r+o ao�z�ai
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Atltlress 2155 S OAKWOOD RD Owner MILES KIMBALL CO _ Create Da[e �9I0111999
Con[racror TOWN 8 COUNTRY ELECTRIC INC Ca�egory 650-Intluslrial-Temporary Service Plan
_ ._ . _. —___. .
Service �� New � C�enge � Temp _� Type � OverheaG � Under9rountl _
Volis Circuils Fiztures _ '� _NeonSign - � Neonp .
___
Amps _ Switches Receptacles _ . Neon Tansb�mero N
Appliances �
UselNature of emp.senice br new Miles Kim�all-200 amp,480 v,3 phase 4 wire � �
Work
Fees: Valuation $500.�0 PlanApproval 50.00 PermitFeePaid 520.00
Issued ey: � Oale 09i0]/199'.
[� Pertnil VoiOetl
In�he perfortnance of Nis work I agree to perform all waM pursuan�[o rules goveming[he describetl cons�mction.
Sigreture Date
AgenVOwner
Atltlress 2662AMERICAN DR/PO BOXfi2] APPLETON WI 54912 -0. TelephoneNumbe� �3&1500 . .