HomeMy WebLinkAbout0068573-Electric CITY OF OSHKOSH No 0068573
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 454 WINDINGBROOK DR Owner ROBERT TOSIC Create Date 2/9/99
Contractor ACTION ELECTRIC Category 611 Residential -New Single Family Wirin Plan
Service 0 New CD Change 0 Temp Type 0 Overhead Underground
Volts Circuits Fixtures Neon Sign Neon
Amps Switches Receptacles Neon Transformers
Appliances
Use /Nature of Wiring for NSI-R
Work
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $85.00
Issued By: Date 2/17/99
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 N 3986 CONRAD STREET KAUKAUNA WI 54130 0 Telephone Number 788 -4020 MOBILE 5