HomeMy WebLinkAbout0098185-Electric (outlets) CITY OF OSHKOSH No 98185
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1 E 8TH AVE Owner ANHALTZER RESIDUARY TRUST, MARY L Create Date 10/15/2002
Contractor SOLAR ELECTRIC SERVICES INC Category 653 Industrial- Addition /Remodels Plan
Service p New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use /Nature of IND/ Install outlets connect metal machines.
Work
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $75.00
Issued By: fir) Date 10/25/2002
El Permit Voided
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 RD OSHKOSH WI 54904 0 Telephone Number 231 -3990
City of Oshkosh
Division. of Inspection Services
P.O. Box 5 F'
U
Oshkosh, WI WI 54903 -1130 )iS t Phone (920) 236 -5050 410111,
Fax (920) 236 -5084 O.f HKOJ H
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account
DATE /o 1 /Q--_____
JOB ADDRESS 7 /w
OWNER e 51 a 2
CONTRACTOR lGlitA-
RE CEIVED
CHECK ALL APPLICABLE
USE CATEGORY
OCT 2 2 2(112
❑Single Family ❑Duplex ❑Multi- FamiltEpARIft OF ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary COMMUNITY D eltio ft head ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles Circuits
Phase
Amps Switches Fixtures
CIECK 55 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF WO BEI ONE S 6 C.G)2 X `P
t'Y1 4ch S 0
VALUE (Including labor and all materials including light f
MASTER ELECTRICIAN
^S. CV
3/02