HomeMy WebLinkAbout0099868-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
225 N EAGLE ST
SOLAR ELECTRIC SERVICES INC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BETHEL HOME INC
Category 843- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 99868
Create Date 02/18/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Nursing Home/Wiring for installing a pharmacy in SE corner of basement in section C of building.
Work
Fees: Valuation
Issued By:
$7,000.01 Plan Approval $0.00 Permit Fee Paid
$150.00
Date 02/18/2003
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
OshkOsh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THF WATER
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will result in fees 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 []
JOB
CO T CTOR
RECEIVED
FEB 1 8 2003.
CHECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family []Duplex
[]Multi-Family
SERVICE F1New
FlChange
FITemporary
I-INot Applicable
[]Rental
TYPE
DEPARTMENT OF
COMMUNITY DEVELOPMENT
E~ommercial []Industrial
I-IOverhead
l-]Underground
[]Not Applicable
FILL IN TH~, APPROPRIATE BLANK WITH TFFE .NUMBER
Volts / . . Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK [] ALL APPLICABLE
FlDishwasher
FIGarbage Disposal
FlRange
l-tFan OR Blower F-1Furnace F1A/C []Electr/c Sign
[]Motors [] Gas Pumps [] Other
DESCRIPTION O,F ALL'WORK BERING DONE .:(,'v~, 71 6, "~'~:7/' b~ ~' :,q4'~7-- ~'p~ ~?~"
FlDryer [] Water Heater
VALLFE (Including labor and all ~als including light fixtures) $
MASTER ELECTRICIAN ~/g'f'~~'~--