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HomeMy WebLinkAbout0102190-ElectricOSHKOSH ON THE WATER Job Address Contractor Service Volts 218-248 WISCONSIN ST ELAND ELECTRIC CORP [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner HIWlSCA LLC Category 843- Commercial-Addition/Remodels Type I~ Overhead Circuits 0 Switches 4 No 102190 Create Date 05/27/2003 Plan ~ Underground Fixtures Receptacles 18 10 Appliances Fan or Blower, Furnace & A/C. Use/Nature of Retail / 242 - Bookstore/ Interior alterations for tenant space. Work Fees: Valuation Issued By: $5,800.00 Plan Approval $0.00 Permit Fee Paid $120.00 Date 06/13/2003 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 3154 HOLMGREN WAY GREEN BAY WI 54304 - 5770 Telephone Number (920) 338-6000 Division of Inspection Services 215 Church Avenue P.O. Box 1130 Oshkosh, WI 54903-1130 Fax (920) 236-5084 Phone (920) 236-5046 RECEIVED JUN C, OIWII,,'tlJFIIT /.DEVELOPMEI T ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. DATE CIRCLE ALL APPLICABLE USE CATEGORY SINGLE FAMILY DUPLEX SERVICE NEW CHANGE TYPE OVERHEAD UNDERGROUND NO. OF FIXTURES i~ SWITCHES ~ AMPS VOLTS / MULTI-FAMILY RENTAL ~ INDUSTRIAL TEMPORARY ~ RECEPTACLES I ED CIRCUITS PHASE CHECK ALL APPLICABLE RANGE DISHWASHER ELECTRIC SIGN WATER HEATER FAN OR BLOWER MOTORS DESCRIPTION OF ALL WORK BEING DONE GARBAGE DISPOSAL FURNACE GAS PUMPS DRYER OTHER A/C / 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. VALUE (Including labor and all materials including light fixtures)