HomeMy WebLinkAbout0095220-Electric (a/c) 0 CITY OF OSHKOSH No95220
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1289 WHEATFIELD WAY Owner ARDEN J PARFITT Create Date 06/18/2002
Contractor SOLAR ELECTRIC SERVICES INC Category 612 Residential Single Family Addition /R Plan
Service 0 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 SFR/ Wire new a /c.
Work
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Y. IN) Date 06/18/2002
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 3443 BROOKS ROAD OSHKOSH WI 54904 0 Telephone Number 231 -3990 fax236 -7725
ED Division of Inspection Services
215 Church Avenue
P.O. Box 1130
J J i 1 Oshkosh, 0) 548130
Fax (920) 236 903 5084
ON THE WATER
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Wh Ar e-1 DATE 61
JOB ADDRESS (?S
OWNER ((IAA 2.a m d, H
CONTRACTOR ��1)(Gf
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE
10 /Mr' )lee&
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 (Including labor an• all materials including light fixtures) 62 6---g-------_ e�
MASTER ELECTRI