HomeMy WebLinkAbout0093513-Electric (temporary) CITY OF OSHKOSH No93513
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 280 S KOELLER ST Owner PRODUCTION INC C & J FOOD Create Date 04 /09/2002
Contractor SOLAR ELECTRIC SERVICES INC Category 640 - Commercial- Temporary Service Plan
Service 0 New O Change O Temp Type 0 Overhead 0 Underground
Volts 120/208 Circuits 0 Fixtures 0
Amps 100 Switches 0 Receptacles 0
Appliances
Use /Nature of COMM/ Temp Service
Work
Fees: Valuation $300.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: kyy‘ Date 04 /09/2002
❑ 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
(FD Division of Inspection Services
215 Church Avenue
P.O. Box 1130
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 j /i /q /
JOB ADDRESS C2 (SO ��'�- -1--
OWNER c.,,,7--
, p y-- /G'-
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMFIFETZ7IINDUSTRIAL
SERVICE NEW CHANGE - TEMPORARY - 1.) NOT APPLICABLE
TYPE OVERHEAD UNDERG NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS lei VOLTS/ / �2GS" 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
• 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 and materials including light fixtures) $
0e �
MASTER ELECTRICIAN (2