HomeMy WebLinkAbout0100213-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
3000 POBEREZNY RD
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner E.A.A.
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 100213
Create Date 03/14/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Wiring for a Farm Show @ EAA.
Work
Fees: Valuation
Issued By:
$1,000.00
Plan Approval
$0.00 Permit Fee Paid
$45.00
Date 03/14/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
03/12/2003 WED
10:26
FAX 920 738 8987 SERVICE
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54909-I130
Phone (920) 23§-$050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold ca~e$ories must be provided.
Incomplete applications will not be processed.
~001/001
,O/HKO/H
· Application(s) and fee(s) can be broug~ to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commenting work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
fi,you are a ~o,~tractor partfcioatin~.in the Permit Fee Account System and have adequate funds, check here
i. LEglLvaant this proc_ess_ed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
OSingle Family I"lDuplcx I"lMulti-Family
SERVICE ~New OTemporary
E]Change ZINot Applicable
I-IRon~a] '~Commercial [3Industrial
TYPE I'lOverhcad ~Not Applicable
VIUnderground
FILL IN THE APPROPRIATE BLANK WITH THR ~
Volts · / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #_
CHECK ~ ALL APPLICABLE
IqlKango VIDishwasher
~Fan OR Blower OFurnaec
~Motors [21Gas Pumps
VIGarbage Disposal EIDrycr
EIMC OElectric Sign
I'qOther
13Water Heater
DESCRIFFION OF ALL WORK BFRNG DONg
.' Oq.q l -[o3'". ~ld. ~ I$
VALUE (Including labor and all materials including light fixtures) ~ /t~ 0 ,P ~
MASTER ELECTRICIAN /~ ~ ~-/,,~,~..dc.~ ~'~. ~~~ad