HomeMy WebLinkAbout2003-Electric (outlets)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
3105 S WASHBURN ST
SOLAR ELECTRIC SERVICES INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner EVERGREEN HOSPITALITY LLC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 101228
Create Date 05/02/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Hawthorne Suites/Add 3 - 110volt outlets in bar & wire to small ground sign.
Work
Fees: Valuation
Issued By:
$700.00 Plan Approval
$0.00 Permit Fee Paid
$30.00
Date 05/02/2003
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
p.o.
Oshkosh, WI 54903-1130
Phone (920) 236-5046
DEPARTMENT OF
All ~nfo~mat~bn after bold categories must be provided.
Incomplete applications will not be processed.
DATE
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
SERVICE NEW
TYPE OVERHEAD
NO. OF FIXTURES
AMPS
CHANGE
UNDERGROUND
SWITCHES
VOLTS /
DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
PHASE
CHECK ALL APPLICABLE
R3%NGE
DISHWASHER
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DOI~
GARBAGE DISPOSAL
FURNACE
GAS PUMPS
DRYER
A/C
OTHER
//6
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 all materials including light fixtures) $ ~-~F~