HomeMy WebLinkAbout0102645-Electric (temporary service)OSHKOSH
ON THE WATER
.lob Address 2526 FOND DU LAC RD
Contractor SOLAR ELECTRIC SERVICES INC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner KARLIN TRUST
Category 601 - Residential-Temporary Services
Amps 1 O0
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102645
Create Date 07/02/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of SFR/Install temporary service for use during rebuild of home.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 07/03/2003
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
- ? ~0 ~:-:Box 1i30
Fax (920) 236-5084
JOB ADDRES
co CTOR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
USE CATEGORY ~SINGLE DUPLEX
SERVICE NEW CHANGE
TYPE ~
NO. OF FIXTURES
MULTI -FAMILY RENTAL COM. MERC iAL INDUSTRIAL
T~PO~ NOT APPLICABLE
UNDERGROLrND NOT APPLICABLE
SWITCHES. RECEPTACLES CIRCUITS
VOLTS /P~ / ~.c/~ Pm~SE
CHECK ALL APPLICA]BLE
P~ANGE,__
DISHWASHER
ELECTRIC SIGN.__
WATER HEATER
FAN OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSAL DRYER
FURNACE A/C
GAS PUMPS OTHER
Submit payment with application. Failure to pay within 30 days will resut~ in
fees being dOubled or $100.00 plus the normal permit fee, which ever is
greater.
VAJSDE (Including l~bor and all ~aterials including light fixtures) $ ~ ~
MASTER ELECTRICI __~~ ~