HomeMy WebLinkAbout0093840-Electric (new service) 0 CITY OF OSHKOSH No93840
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1159 ROCKWELL AVE Owner WISCONSIN PUBLIC SERVICE CORP Create Date 04/25/2002
Contractor T RUCK ELEC Category 651 - Industrial -New Service Plan
Service b New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 115/230 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Appliances
Use /Nature of IND/ INSTALL 100AMP UNDERGROUND SERVICE.
Work
Fees: Valuation $950.00 Plan Approval $0.00 Permit Fee Paid $45.00
Issued By: i/ Date 04/25/2002
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number (920) 233 -7191
ED Division of Inspection Services
215 Church Avenue
P.O. Box 1130 •
S1[ Oshkosh, WI 54903 -1130
Fax (920) 236 -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.
DATE /Z-7�/()2-
JOB ADDRESS N C9C'1��� Av6 `
OWNER a
i
CONTRACTOR �t .... / " . f ( / � �
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL gOMMERr.AL (INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD CJEEME5 NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS / "G VOLTS J( / 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 d'/ kkai /(y) 471/ // 1 a(V jWID
6t. ,LC )
• 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 lab' • =.d all material= ' light fixtures) $ ( 3 ; 5 - U f
MASTER ELECTRICIAN Ail
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