HomeMy WebLinkAbout2003-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
491 S WASHBURN ST
SOLAR ELECTRIC SERVICES INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner 491 S WASHBURN ST LLC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 101423
Create Date 05/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Suite 300/Wire rental space on second floor.
Work
Fees: Valuation
Issued By:
$5,000.00 Plan Approval
$0.00 Permit Fee Paid
$105.00
Date 05/13/2003
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
Division__of _Inspect ion Services
oshkosh, WI 54903-1130
~ax (~0) ~-~0s~
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applica~tions will not be processed.
DATE
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
SERVICE NEW
TYPE OVERHEAD
NO. OF FIXTURES
AMPS
DUPLEX
CHANGE
UNDERGROUND
SWITCHES
VOLTS /
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
PHASE
CHECK ALL APPLICABLE
RANGE
DISHWASHER
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS
GARBAGE DISPOSAL DRYER
FURNACE A/C
GAS PUMPS OTHER
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 (Includin lab~~ria~s including light fixtures) $ ~