HomeMy WebLinkAbout2001-Electric (underground service)
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OSHKOSH
ON THE WATER
Job Address 676 W 3RD AVE
CITY OF OSHKOSH
No 91685
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner
DAVID R HANSEN
Create Date 12/06/2001
Plan
Contractor
TRUCK ELEC
Category 641 - Commercial-New Service
Service . New
Volts 120/240
0 Change
0 Temp
Type
0 Overhead
. Underground~
Circuits
Fixtures
Amps
~
Switches
Receptacles
Appliances
Use/Nature of ~TORAGE GARAGE/Install new 200amp underground service.
Work
Fees: Valuation
$700.00
Plan Approval
$0.00
Permit Fee Paid
$30.00
Issued By:
<'VV\
Date 12/06/2001
0 Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
AgenUOwner
Address
690 W 3 RD AVE
OSHKOSH
WI 54902 -~
Telephone Number (920) 233-7191
ED Division of Inspection Services
215 Church Avenue
P.O. Box 1130
O/ I KOOK Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
ON THE WATER
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 12/t9/01
JOB ADDRESS LOCO l • Qom.
OWNER live. 1 \
CONTRACTOR 7. Ruch 1 1 e i ('
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE 411:11 CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS 200 VOLTS 110 /2 PHASE y�
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE VMtall new Zoo v
amp i
5:'.r-v ► ce _ ,� '' "� �7
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including lab• d all mater'- = cluding light fixtures) $ 7�b
30, CO
MASTER ELECTRICIAN / „ 1 ;�
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