HomeMy WebLinkAbout0100360-Electric (misc)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1850 BOWEN ST
SOLAR ELECTRIC SERVICES INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HEALTH CARE PROPERTY PARTNERS
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 100360
Create Date 03/14/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Demo walls, replace lights and fixtures, add outlets & misc.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
$60.00
Date 03/24/2003
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 3443 BROOKS RD OSHKOSH WI 54904 - 0 Telephone Number
231-3990
City of OshkgSh
Division oflhspection Services
P.O. Box 1130 ' ........ ':::::
Oshkosh, WI 54903'1 I30
Phone (920) 236:5050 ' '
Fax (920) 236-5084
· RECEIVED
~ MAR 1 1200,3
DEPARTUENT OF
ELECTRICAL P~~~~T
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON Tile WATER
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 []
CHECK I~I ALL APPLICABLE
USE CATEGORY
[-ISingle Family EIDuplex
F-1Multi-Family
mRental
SERVICE [-INew I-]Temporary TYPE
U1Change FINot Applicable
FILL LN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / . - Receptacles #
Phase
Amps Switches #
._}i-~CK ~ ALL APPLICz~d~-LE
[]Range [Dishwasher
[-'lFan OR Blower [-lFurnace
[]Motors F-IGas Pumps
r'lGarbage Disposal
[A/C
I-IOther
mmercial I-1Industrial
[]-]Overhead l-INot Applicable
l-lUnderground
Circuits #
Fixtures #
F'lDryer l-IWarer Heater
IDElectric Sign
VALUE (Including labor and all materials i~ding light fixtures) $
MASTER ELECTRICIAN
...... ~5~ ..~,. (' .... :-..