HomeMy WebLinkAbout0099658-Electric (remodel)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
JobAddress 3125 MEDALIST DR Owner TOLLROGE PROPERTIES LLC Create Date 08/05/2002
Contractor SOLAR ELECTRIC SERVICES INC Category 643- Commercial-Addition/Remodels Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Switches 0 Receptacles
Amps 0
No 99658
Appliances
Use/Nature of OFFICE REMODEL / Wiring for a small room remodel. *ANY ADDITIONAL VALUE WILL REQUIRE ADDITIONAL PERMITS.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 02/03/2003
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 3443 BROOKS RD OSHKOSH WI 54904 - 0 Telephone Number
231-3990
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (9,?_~ ~-~1~
JAN 2 7 2005 ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
DEPARTMENT 0F Incomplete applications will not be processed.
O/HKO/H
ON THF \qATER
Oshkosh WI '54903-119-8. Commencing work without permit(s) will result m tees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
ElSingle Family
SERVICE F1New
F1Change
F1Duplex F1Multi-Family
[3Temporary
I'-INot Applicable
FIRental
TYPE
/
E3 o~mmercia;Not E]A;:22~l'eal
[3Underground
FILL IN TltE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
EIRange [2]Dishwasher ElGarbage Disposal
I"]Fan OR Blower FIFumace I-IA/C
F-IMotors F1Gas Pumps FIOther
DESCRIPTION OF ALL WORK BEING DONE
r
VALUE (Including labor and all materials including.light fixtu~r~es) $
MASTER ELECTRICIAN ~?~-~ff~t~.~
FIDryer [3Water Heater
EIElectric Sign
3/02