HomeMy WebLinkAbout0092937-Electric (sign)
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OSHKOSH
ON THE WATER
Job Address 300 S KOELLER ST
CITY OF OSHKOSH
No 92937
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LANDMARK LIMITED PARTNERSHIP III
Create Date 03/05/2002
Contractor SOLAR ELECTRIC SERVICES INC
o Temp
Category 643 - Commercial-Addition/Remodels
Type 0 Overhead.
Plan
Service
o New
o Change
o Underground _
Volts
Circuits
o
Fixtures
o
Amps
o
Switches
o
Receptacles
o
Appliances
Use/Nature of COMM/ Wallace Furniture/ Connect sign & add new circuit.
Work
Fees: Valuation
$500.01
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By: k,,,,,,
Date 03/05/2002
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature
Date
Agent/Owner
Address
3443 BROOKS ROAD
.
OSHKOSH
WI 54904 - 0
Telephone Number 231-3990 fax236-7725
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OJI-IKOJH
ON THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
CONTRACTOR
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DATE c5 /-f! 0 2..
JOB ADDRESS
OWNER
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE
NEW
CHANGE
TEMPORARY
NOT APPLICABLE
TYPE
OVERHEAD
UNDERGROUND
NOT APPLICABLE
NO. OF FIXTURES
SWITCHES
RECEPTACLES
CIRCUITS
/
PHASE
AMPS
VOLTS
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWER
FURNACE
A/C_
ELECTRIC SIGN
MOTORS
GAS PUMPS
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OTHER
DESCRIPTION OF ALL WORK BEING DONE
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. Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including
all materials including light fixtures) $
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MASTER ELECTRICI
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