HomeMy WebLinkAbout0102196-Electric (new service)OSHKOSH
ON THE WATER
.lob Address 1330 E MURDOCKAVE
Contractor SOLAR ELECTRIC SERVICES INC
Service [~ New 0 Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JON A/BARBARA T COLES
Category 634- Residential-Service Change
Amps 1 O0
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102196
Create Date 06/13/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install new service.
Work
Fees: Valuation
Issued By:
$900.00
Plan Approval
$0.00 Permit Fee Paid
$40.00
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 3443 BROOKS RD OSHKOSH WI 54904 - 0 Telephone Number
231-3990
Division of Inspection Services
215 Church Aven6~
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applica, tions will not be processed.
DATE
CIRCLE ALL APPLICABLE
USE CATEGORY ~INGLE FAMI~L~ DUPLEX
SERVICE NEW ~
TYPE ~' UNDERGROUND
NO. OF FIXTURES
MULTI -FAMILY
SWITCHES
VOLTS
RENT~L COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES
CIRCUITS
CHECK ALL APPLICABLE
R3~NGE
DIS~WASHER
ELECTRIC SIGN
WATER HEATER ,
FA/q OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSAL DRYER
FURNACE
GAS PUMPS OTHER
A/C
Submit payment with application. Failure to pay within 30 days will-resul~ in.
fees'being doubled O~$100.~0 plus the no~al permit fee, which ever is TM
greater.
VALITE (Including labor~an~~~ding light fixtu, res)
~J~STER ELECTRICIAN ~-----J'_~/ //~"' ,, _I ~