HomeMy WebLinkAbout0069601-Electric (service change)CITY OF OSHKOSH No oos9sol
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 112 S KNAPP ST Owner RONALD D/EDNA S FURMAN JR Create Date 4/15/99
Contractor MY ELECTRIC CORP. Category 634 -Residential-Service Change Plan
Service `J New ~ Change ~ Temp ~ Type ver ea n ergroun
Volts 120/240 Circuits Fixtures eon ign Neon #
Amps 200 Switches Receptacles Neon Transformers #
Appliances
Use/Nature of
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00
ermi of e
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1512 RUGBY ST OSHKOSH WI 54901 - 0 Telephone Number 231-0707
Permit Fee Paid
$50.00
Date 4/16/99
ec c elfin o a
Job Addrss 112 S KNAPP ST Permit Number 0000000 Croat Dab 4/15/99
Owner RONALD D/EDNA S FORMAN JR Contractor -MY ELECTRIC CORP.
Category 634 -Residential-Service Change ..
Service New ~ Chango ~ Temp .,Type e n ergroun
Volts 120/240 Switches eon n Neon #
Amps 200 Fixtures Nson Tronsforrnero # '
Circuit Receptacles value SO.oo
Appliances
UseMature
of Work
nspecuons: . n
Dab 4/15/99 Type Service Inspector prov
AXED TO WPS 4/15/99, MAILED 4N9/99