HomeMy WebLinkAbout0099520-Electric (breaker)OSHKOSH
ON THE WATER
Job Address 712 DOCTORS CT Owner
Contractor TOWN & COUNTRY ELECTRIC Category
Service ~ New 0 Change 0 Temp I
Volts Circuits
Amps 0 Switches
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
AURORA MEDICAL GROUP INC
643 - Commercial-Addition/Remodels
Type (~ Overhead
0
0
No 99520
Create Date 01/20/2003
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Nature of 3OMM/New 100amp breaker & rs-route feeder and loads for panel.
Work
Fees: Valuation $1,700.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $60.00
Date 01/20/2003
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
01/16/2003 THU 11:22 FAX 920 738 8987 SERVICE
City of Osldcosh
Division of Irap~ction S~rvi~es
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~001/001
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be lnovided.
Incomplete applications will not be processed.
O.(. HKO/H
Application(s) and tee(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 fccs being doubled or $100.00 plus the
normal pcr~it tee, which ever is greater.
OR
l£vou are a contractor participating in_the Permit Fe.e /ic_co_unt SY~tem and have adeauat, e funds, check here
if you want this proces~e~, through _your accoun, t. []
DAn., ~] t~ Io ~
CO~nt~CTOlt 'T'O~ -~ ~u~4+v~
CHR~ IPl ALL AIPPLICABLE
USE CATEGORY
[3Single Family I--IDuplex
I"lMulti-Family
SERVICE ElNew
C1Chang~
EITemporary
Applicable
I'lRental [~ommercial Ellndustrial
TYPE ElOverhead EINot Applicable
ElUnderground
FILL IN THE AI~PROPRIATE BLANK WITH THE NUMBER
Volts - / Receptacles #
l~hase
Amps Switches #
Circuits
Fixtures
Cmr. CK ~ ALL APPLICABLE
C)Rangc ClDishwasher
ElFan OR Blower ElFurna~
EIMotors ~Gas Pumps
ElGarbagc Disposal
EIA/C
ElOther
DESCRIPTION OF ALL WORK BEING DONE
OI~er
iqElcotric Sign
l~Water Heater
VALUE (Intluding labor and all materials including light fixtures) $
3/02