HomeMy WebLinkAbout0103177-ElectricCITY OF OSHKOSH
103177
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date07/29/2003
2251 BADGER AVECURWOOD INC
ContractorVAN ERT ELECTRICCategory653 - Industrial-Addition/RemodelsPlan
ServiceTypeOverheadUnderground
NewChangeTemp
VoltsCircuits0Fixtures4
Amps0Switches0Receptacles0
Appliances
Use/Nature of IND/ #2250/ Washroom addition to existing building (1st building on the left on Badger Ave). *Job #F1561CC.
Work
Plan Approval$0.00
Fees: Valuation$10,500.00Permit Fee Paid$183.00
Issued By:Date07/29/2003
Permit Voided
Parcel Id #1325000000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
SignatureDate
Agent/Owner
2000 PROGRESS WAYKAUKUANAWI541300920-766-3888
Address-Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2200 BADGER AVE
VAN ERT ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CURWOOD INC
Category 853- Industrial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103177
Create Date 07/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of IND/ #2250/ Washroom addition to existing building (1st building on the left on Badger Ave). *Job #Fl 561 CC.
Work
Fees: Valuation
Issued By:
$10,500.00 Plan Approval $0.00 Permit Fee Paid $183.00
Date 07/29/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
07/15/02
14:31 FAX 920 766 0883
VAN ERT ELECTRIC
OO2
CRy o£Oshkosh
Division of Inspec6on Services
P.O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Apphcatlon(s) and ftc(s) can be brought to City Hall, Room 205 or mailed to hsp,~tion'.q~rvic~s, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s} will result in fe~s b~ing doubled or $100.00 plus '
normal permit f~c, which ever is greater.
OR
If you ara a Contractor ~artici~atinR in th'¢ Permit Fee dccount System and have adequate funds, check I~,
if you wont this t~rocessed through your account ~'
DATE 7-/~- O,~
CIIECK [] ALL APPLICABLE
USE CATEGORY
[3Single Family [3Duplex ElMulti-Family
SERVICE EINcw ~Tcmpora~
[~Chan~ j~Not Applicable
ElRental f=ICommercial ~l~Indus~al
TYPE {[]Ovcrhead ~Not Applicable
r3Underground
FIT.L I~ 'l']iK. APPROPRIATE BLANK WITH THE NUMBER
Volts · I Receptacles ii
Phase
A~nps - Switche~ #
Circuits ~,
Fixtures#
C~CK []ALL APPLICABLE
r"lRange EIDishwash~r ElGarbage DisPosal
rlFan OR Blower I'lFurnace I~IA/C
ElMotors t-lC-as Pumps [3Other
- DE$~NOF ALIr, WORI~BEINGD~LNE ~/./_/a~'A ~O~7
I~Dry~r I'lWater Heater
f=lElec~'ic Sign
VALUE (lneinding labor an~ all materials Ineludin~ light fixtures) $ //~; ,,~,~ _/")