HomeMy WebLinkAbout0101998-Electric (Country USA)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
500 E COUNTY RD Y
TOWN & COUNTRY ELECTRIC
[~ New (~) Change (~) Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WINNEBAGO COUNTY FAIRGROUNDS
Category 640 - Commercial-Temporary Service
Type I~ Overhead
Circuits 0
Switches 0
No 101998
Create Date 06/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Temp power distribution for Country USA (all equipment provided by Kohler Rental Power). *Job #37368.
Work
Fees: Valuation
Issued By:
$5,000.00 Plan Approval $0.00 Permit Fee Paid $105.00
Date 06/05/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
06/03/2003 TUE 13:26 FAX 920 738 8987 SERVICE
Civ~ of Oshkosh
Division of Inspection Scrvices
P,O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
Ail informmion after bold categories must be provided.
Incomplete applications will not be processed,
~001/001
O/HKO_/H
ON ?HP ~V^TER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees beh~g doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a C,.oolr_actor varticinatin~ in the Permi~e,e Account $¥xtqra and have ade. quate funds, ehec]~ here
(f you wf~nt this procex.(ed through your aqcount fl~
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CHECK [] ALL APPLICABLE
USE CATEGORY -"
r'iSingle Family rqDuplex E]Multi-Family ElRental
SERVICE ONew Vlfemporary TYPE
ElChange ~K~lot Applicable
I-ICommercial I-llndustrial
E]Overhead ,J~ot Applicable
ElUnderground
FILL IN TUF. APPROPRIATE BLANK WITH THE NUMBER
Volts - / Receptacles # Circuits #
Phase
Amps ,. Switches # Fixtures #
CHECK I~ ALL APPLICABLE
nRange VIDishwasher VIOarbage Disposal EIDryer [3Water Heater
DFan OR Blower nFumacc EIA/C DElectric Sign
rqMotors VIGas Pumps VlOthcr
DESCRIPTION OF ALL WORK BEING DONE.__ "~//~O~
VALUE (Including labor and all materials Including light fixtures) $
P-~e #