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0102045 E
OSHKOSH ON THE WATER .lob Address 470 AVIATION RD Contractor TOWN & COUNTRY ELECTRIC Service [~ New (~ Change Volts 120/240 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner WITTMAN FIELD Category 644- Commercial-Service Change Amps 100 ~ Temp Type I~ Overhead Circuits 0 Switches 0 No 102045 Create Date 06/09/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of COMM/Install new 100amp service. *Job #37343. Work Fees: Valuation Issued By: $550.00 Plan Approval $0.00 Permit Fee Paid $25.00 Date 06/09/2003 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 05/02/2003 M0N 10:14 FAX 920 738 8987 SERVICE City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 154903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ,/ ELECTRICAL PERMIT APPLICATION All iufomlation after bold categorie-~ nmst be provided, Incompl=tc application~ will not ba pr°ccss~d. ~]002/002 5-736'3 C)fHK©/H ON TH~ 'W'ATIER · 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 being doubled or $100.00 plus the normal permi~ fcc, which ever is greater. OR ff you are a contractor parr~ip~dn~ in the Permit Fee Account System and have adequate funds, check he. re (f you want this pr. ocessed through yq_ur ac_c_o_u_nt [-~ CHECK [] ALL APPLICABLE USE CATEGORY ElSingI¢ Family IZlDuplex F'lMulti-Family SERVICE ~}qChw E]Temporary ange ~Not Applicable I-IRental TYPE ~/Commercial Ellndustrial r-lOverhesd FINot Applicable ~Undergmund FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts _ .]~Q ! )q0 Receptacles # Circuits # Phase / Amps //~ 0 Switches # Fixtures # CBI~CK [] ALL APPLICABLE ORange rqDishwasher ~Garbage Disposal ~qDryer l-IWate~ Heater DFan OR Blower DFurnace I'qA/C [~Electric Sign r'lMotors I'lOas Pumps l-IOther DESCRIPTION OF ALL WORK BEING DONE VALUE (Including labor and all materials including light fixtures) $ ....~9 'O C% 3/02