HomeMy WebLinkAbout0088428-Electric /� CITY OF OSHKOSH Noaeasa
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OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
1
Job Address 3001-3015 N MAIN ST Owner DANIEL E DOWUNG Create Date 08/17/2001
Contractor SECKAR ELECTRIC Category 652-Industrial-New Building Wiring Plan
Service New � Change � Temp Type � Overhead � Underground �
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use/Nature of 'ring for addition.
Work
Fees: Valuation 15,00 Plan Approval $0.00 Permit Fee Paid $195.00
Issued By: Date 08/17/2001
� Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenUOwner
Address 5920 COURTNEY PLUMMER ROAD WINNECONNE WI 54986 -0 Telephone Number (920)582-4909 M 379-685
! �
Division of Znspection Services
� 215 Church Avenue
P.O. Box 1130
�� Oshkosh, WI 54903-1130
Fax (920) 236-5084
ON TNE WATER .
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DAT$ � O �d�
JOB ADDRESS ��b 15 1 vl1U�-J � M�II v C��•
o�R �0w L� �� Co NS1'�'UG�o�v
CONTRACTOR �C�� ��j��-�!`--� �—.
CIRCLS ALL APPLICABLE
USB CATgGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCI INDUSTRIAL
SBRVICE NEW CHANGE TEMPORARY NOT APPLICABLE :
TYPE O RHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES� SWITCHES �/ RECEPTACLES_� CIRCUITS �/
AMPS OO VOLTS��/� PHASS_��
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 N�?ti} S��2UIG� �� �Q177pN . _ ,
j��,�i N� � �Ha� -r r��G�
• 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.
VALUS (Including 1 r and all materials including light fixturas) $ ��O�IJ . � �
biASTBR $LSCTRICIAN `�- S C(� .