HomeMy WebLinkAbout0117712-HVAC (furnace)
~ Ch,or-
~~ DMsIm.f1~S<M<..
,...... :""""'hA-
PO",""""
"""",. WI ....,.,,'"
O~Q!H. ~ .:~:
Electric Installation Verification
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (city) (State) (Zip Code)
have been contracted to perform electric installation work fo& ~.9-..:> ~\.ÙC ~\ bJì/\. \) Q /\
(Name of party contracted to) . <5 - .
at the fonewing address: ?:r; \. ;:) ~ ^- 'X\. ð9--
(Address where work will be perfonned)
I (We)
The nature of the worle consists of: (Check One or Describe the Nature ofWorle)
~ Recomection or new circuit for replacement Heating Plant and/or AlC Condenser.
- Recomcction or new circuit for replacement Electric Water Heater or power vented
walerheater.
- Reconnection of the Service Entrance Cable, Meter Box, alteriûons to receptacles
and lighting fi)(tures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
- Reoonnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
- New circuit for the addidon of AlC to an Individual dwelling unit (house or the
individual systems in a duplex or condominium), including ~ service
electrical outlets.
- Other
The value of this worle is $ \S().\"C)
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufactorer and Electric code
requirements.
¡J.
~¡;'¡4 \J\~~\C)~
(Date)
5/02
'.-"- . ----- --. .- -'
---..-, -