HomeMy WebLinkAbout0115886-HVAC (boiler)
~ C;IYof"",,",,~
.........~ DMI... ofJ-"", s.mo..
,.... ,»",-....-
POBo.<II30
~W ~Wl"""113!)
""""""""......
Fa -........
Electric Installation Verification
r (We)
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh
(Address) (City)
WI
(State)
54904
(Zip Code)
have been contracted to perfonn electric installation work for John Myers
(Name of party contracted to)
at tbe fonowing address:
2013 Winchester
(Address where work will be perfonned)
The nature of me work consists of. (Check One or Describe the Nature of Work)
~ RecoIUlection or new circuit for replacement Heating Plant and/or AIC Condenser.
- Reconnecûon or new circUÍt for replacement Electric Water Heater or power vented
water heater.
- Reconnecûon of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I.soffit insta11atíon. Note: New Service
Entrance Cables will require a separate permit.
- RecoIUlection or new circuit for the replacement of other permanently wired
. appliances I fixtures.
- New circuit for me addition of AlC to an IndivIdual dwelling unit (bouse or the
individual systems in a duplex or condominium), including required service
electricaJ outlets.
- Olhr;r
The value of this work is $
150.00
r hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in complìance with manufacturer and Electric code
requirements.
{].
~ 1"j4
8/16/05
(Date)
5/02
..--.- - ---" -.. -- "
..-..-. -.