HomeMy WebLinkAbout0084178-Electric (baseboard heaters)CITY OF OSHKOSH No saes
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 703 7
05 N MAIN ST Owner JEFFREY J. WICINSKY Create Date 02/12/2001
Contractor ACE ELECTRIC Category 623 -Residential-Duplex Addition/Remod Plan
Service -~ New ~~ Change Tem
p T e ver ea
Yp
( n ergroun _- -~
Volts Circuits
Fixtures
Amps Switches
Receptacles
Appliances
Use/Nature of
Work
Fees: Valuation
Issued By: ~
X455.00 Plan Approval $0.00 Permit Fee Paid $20.00
ermi of ~~
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 744 MT VERNON ST OSHKOSH WI 54901 - 0
Date 02/12/2001
Telephone Number (920) 231-5520
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tractor, erewith make app ication
Date 2/S~/O ~
Electrical Con-
inatall the following electrical wires & aermit to
~ ppa rs tus
in the premissa of ~ d 3 £' ~ Q ~-
No. Street /!~ i /~/ c~ ~ ~ ~l S
New Service
Change Service
Temp. Service
Range
water Heater
Garbage Disposal
Dishwashers
Furnace.
Electric Sign
Motors
Air Conditioner
Gas Pump=
Fixtures
Dryer Switches
Fan or H owsr Receptacles
Circuits
Date Issued 2-
~ Master
Estimated Coat