HomeMy WebLinkAbout0100706 EOSHKOSH
ON THE WATER
.lob Address 812 E MURDOCKAVE
Contractor ACTION ELECTRIC
Service [~ New (~ Change
Volts 120/208
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WISCONSIN PUBLIC SERVICE
Category 644- Commercial-Service Change
Amps 1 O0
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100706
Create Date 04/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Put on new siren and change service for Winnebago County.
Work
Fees: Valuation
Issued By:
$1,995.00 Plan Approval $0.00 Permit Fee Paid
$60.00
Date 04/09/2003
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 W1906 COUNTY TKJJ KAUKAUNA WI 54130 - 9417 Telephone Number
(920) 788-4020 M 585-40(
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON TNF \~/ATER
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 []
JOB ADDRESS
OWNER t xL
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
F1Single Family
SERVICE DNew
Change
ElDuplex []Multi-Family
[2Temporary
[2Not Applicable
F1Rental / F'lCommercial FIIndustrial
TYPE l~t.Overhead FINot Applicable
[2Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2 o / ~ o~ Receptacles #
Phase _-~ v~
Amps l O o Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FIRange F1Dishwasher
I-IFan OR Blower FIFumace I-1A/C
[] Motors [] Gas Pumps [] Other
DESCRIPTION OF ALL WORK BEING DONE .~z.Z--:/'/''' ~
F1Garbage Disposal
[3Dryer DWater Heater
F1Electric Sign
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN .
3/02
Oshkosh City Assessor's Office Page 1 of I
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Site Desiqn Copyriqht 1.999-2000 Akanda Solutions, LLC. All riqhts reserved.
http://www.ci.oshkosh.wi.us/assessor/ProcessSearch.asp?radio 1 =5&Cmd=Click&Acdon=0&N... 4/8/03
COMMERCIAL · INDUSTRIAL · RESIDENTIAL
SI~ILLED SERVICE AT COMPETITIVE RATES
MAINTENANCE ~~ (~C~-_.. C..E_R.T' Fl ED
REPAIRS ~m~ oiler' STATE LICENSED
~~i1~.~°~v- 920-788-4020
~~c~' Fax ~20-788-0846
RICK VAN DYN HOVEN W1906 Cty. Tk. OJ
Master Electrician Kaukauna, Wi 54130