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HomeMy WebLinkAbout0098578-Electric (outside service)OSHKOSH ON THE WATER Job Address Contractor Service Volts 313 W 6TH AVE ENCOMPASS ELECTRICAL TECHNOLO( [~ New (~ Change (~ Temp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner ROCKY L / KlM E BUHROW Category 634- Residential-Service Change Type I~ Overhead Circuits 0 Switches 0 No 98578 Create Date 02/20/2001 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of SFR/Replace outside service equipment. Work Fees: Valuation Issued By: $550.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 11/12/2002 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 11/08/2002 FRI 15:13 FAX 920 738 8987 SERVICE 1~003/003 ELECTRICAL PERMIT APPLICATION Ail informa=ion after bold categories must he provided, Incomplete applications will not be processed. CXRCLE ALL APPLICAB~-B USE CATEGORY ~ DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRI~ S]I~VICE NEW ~ TEMPORARY NOT APPLICABLE TYPE ~ UNDERGROUND NOT APPLICABLE CIRCUITS NO. OF FIXTURES SWITCHES RECEPTACLES_ _ AMPS VOLTS ./ ~HAS~ -- CHKCKALL APPLXCABLB RANGE__ WATER H~ATE~_.___ GARBAGE DISPOSe.___. DISHWASHER_. . FAN OR BLOWER__ PURNACE ELECTRIC SIGN____ MOTORS GAS PL~iPS DBgCRIPTION OF &iL WORK BRING DONE DRYER__ A/C____ OTHER · Submit paymen= with application. Failure to pay within 30 days will resuli in fees being doubled or $100_00 plus the normal per. it fee, which ever is greater.