HomeMy WebLinkAbout0101669-Electric (temp power)OSHKOSH
ON THE WATER
.lob Address 500 E COUNTY RD Y
Contractor VAN ERT ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WINNEBAGO COUNTY FAIRGROUNDS
Category 640 - Commercial-Temporary Service
Amps 30
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 101669
Create Date 05/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Temp connection of power pedistals. *Job #F1556-AF.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 05/21/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
05/21/02
09:44 FAX 920 ?$6 0883
VAN ERT ELECTRIC
~]001
City of Oshkosh
Division of Imp¢cfion Services
P.O. Boa 1130
Oshkosh~ WI E4903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
Ail information after bold categotics must be provided.
Incomplete applications Will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh W1 54903-1128. Conunencing work without permit(s) will result in fees being doubled or $100.00 plus
normal permit fee, which cvcr is greater.
If you are, a Coatractor,partic(patin? in the Perml~ e Account System and have adequate funds, chec?_ /
CHECK [] ALL APPLICABLE
USE CATEGORY
C'l$ingl¢ Family
SgRVICE [3New
l"lChange
I-IDuplex [3Multi-Family
~Ternporary
ClNot Applicablc
Circuits #
Fixtures #
flDryer ElWatcr Heat~
['iEl=ctric Sign
VALUI~ (Including labor and all materials including Hght fixtures) $~ ~)