HomeMy WebLinkAbout0085707-Electric (broken satellite) � , .
� CITY OF OSHKOSH No85707
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 825 N WASHBURN ST Owner MILLER INVESTMENTS INC Create Date 05/02/2001
Contractor SLIM'S ELECTRIC,INC. Category 643-Commercial-Addition/Remodels Plan
Service New � Change � Temp Type Overhead _ Q Underground �
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use/Nature of he Bar/Replace broken sealtite
Work
Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $20.00
issued By: �� Date 05/02/2001
� Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenUOwner
Address 2608 OAKWOOD CIRCLE OSHKOSH WI 54904 -0 Telephone Number (920)426-5249 p 920-234
r� - . �
Divistoa of Inspection Services
� Z15 Church Aveaue
P.O: Box 1130
Oshkooh, NI 56903-113Q
' Fax (920) 736-508A .
PhO�lC (920) 236-5046
SLECTRICAL P�I�dIT APPLICATION
Al1 information after bold categories must be provided.
Incomplete applications wilJ. not be processed.
D,►Ts 4I29/01
soa r►nnRsss 825 N. Washburn
� The Bar
co�,c.-rox Slim's Electric Inc.
CIRCLB 1►LL l►PPLICABLB
IISS C]1TEOORY SINGLE FAMILY DUPLEX MUI,TI-FAMILX RBNTAL COlKM$RCIAL INDUSTRIAL
SB1tVIC8 NEW C'H�1NGB T&MPORARY NOT APPLICABLE
TYPS OVERHFSAD UNDSRGROUND NOT APPLICABLS
NO. 08 FIXTURSS SWITCHES RECSPTACLES CIRCUITS
A�6P3 VOLTS / PH718B
CHSClC AI+L JIPPLIGIBLB
F2ANGE WATSR HEATSR GARI3AGE DISPOSAL DRYER �
DISHWASHER FAN OR BLOWER FURNACE A/C
BLSC'PRIC SIGN MOTORS GAS PUMPS OTHER
DSSCRIPTION OF ]1LL ii4R1C HSINO DONS Replace Broken sealtite.
• Submit payment with application. Failure to pay within 30 daye will result in
fees being doubled or $100.00 plua the rios-�unl p�z�nit fcc, which cver ia
greater.
v�r.vs cxn�ivai� i � �Z c � . i 1 lig�t liztnru) ,� 200.00
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