HomeMy WebLinkAbout0089740-Electric (reconnect service) 4CD-14 CITY OF OSHKOSH No 89740
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 659 EVANS ST Owner JOEL L LOU ANN M ELSEN Create Date 06/22/2001
Contractor B. Q. ELECTRIC SERVICES Category 612 Residential Single Family Addition /R Plan
Service 10 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use /Nature of RECONNECT SERVICE
Work
Fees: Valuation $150.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: ,/4✓ Date 09/27/2001
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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 346 Telephone Number (920) 233 -9005