HomeMy WebLinkAbout0101054-Electric (outlets)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
465 N MAIN ST
DREXLER ELECTRIC
[~ New (~ Change (~ Tamp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner STAPEL PROPERTIES I LLC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 2
Switches 0
No 101054
Create Date 04/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COFFEE SHOP/9 Church Ave/Add outlets in kitchen area.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 04/28/2003
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 490 COUNTY ROAD FF PICKETT WI 54964 - 0 Telephone Number
589-6700
Division of Inspection Services
215 Church Avenue
Oshkosh WI 54903 1 3 -
Fax (~20) 236-5~84 ~
All information after bold categories must be providential. Incomplete applications will not be processed.
JOB ADDRESS
CIRCLE ALL APPLICABLE
SERVICE NEW
TYPE OVERHEAD
NO. OF FIXTURES
AMPS ~
SWITCHES RECEPTACLES ~ CIRCUITS
VOLTS/c~-~9 / 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 ~ ~Q ~O (¢_'t_~ //-/
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including~o~n~
F-~STER ELECTRICI~I' ~"-~
all materia~ls~$acluding llght fixtures) $
o,