HomeMy WebLinkAbout0055127-Electric (service change)
G
OSHKOSH
ON THE WATER
Job Address 1121 BISMARCK AVE
CITY OF OSHKOSH
No 0055127
ELECTRIC PERMIT - APPLICATION AND RECORD
ROBERT & LENORE VANDERLOOP
Create Date 10/3/96
Owner
Contractor TRUCK ELEC
Service b New . Change
Volts Circuits
Amps 100 Switches
Appliances
Category 634 - Residential-Service Change Plan
Fixtures
Type . Overhead
I Neon Sign
( ) Underground
I Neon #
o Temp
Receptacles
Neon Transformers #
Use/Nature of
Work
Fees: Valuation
$900.00
Permit Fee Paid
$35.00
Issued By:
Date 10/17/96
o Permit VOided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 246 SCOTT STREET
OMRO
WI 54963 - 0000
Telephone Number 685-5801