HomeMy WebLinkAbout0100007-Electric (temperature control panels)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 115
855 N WESTHAVEN DR
ENERGY CONTROL & DESIGN INC
[~ New (~ Change (~ Tamp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner AURORA MEDICAL GROUP INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 15
Switches 0
No 100007
Create Date 02/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/115 volt circuits to 15 temperature.
Work
Fees: Valuation
Issued By:
$1,500.00
Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 02/28/2003
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 3137 N ROEMER ROAD PO BOX 12 APPLETON WI 54912 - 12 Telephone Number
(920) 739-9794
$ Division of Inspection Services
215 Church Avenue
P.O. Box 1130
O~_~O/H Oshkosh, WI 54903-1130
ONTHEW~TER Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT
All information after bold categoriesmust be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX
S ERVI CE NEW CHANGE
TYPE OVERHEAD UNDERGROUND
NO. OFFIXTURES SWITCHES
uPS v0 .TS
DATE
PHASE /
CHECK ALL APPLICABLE
RANGE
DISHWASHER
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSAL
FURNACE
GAS PUMPS
1/5-
DRYER
A/C,
OTHER
/5-
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 (Includin~ labor and all materials including light fixtures)