HomeMy WebLinkAbout0103180 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
319 PEARL AVE
SUBURBAN ELECTRIC INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SCHMIEDEL ENTERPRISES LLC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103180
Create Date 07/30/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances ~,/C
Use/Nature of COMM/Connect A/C.
Work
Fees: Valuation
Issued By:
$800.00 Plan Approval $0.00 Permit Fee Paid $35.00
Date 07/30/2003
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 709 HICKORY FARM LN APPLETON WI 54914 - 0 Telephone Number
(920) 739-5156
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-$050
Fax (920) 236-5084
PERMIT APPLICATION
All kffo~tion after bold categories must be provided.
I~comp]et¢ applications wfl] not be processed.
OdHKO/H
· 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 $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in' the Permit Fee Account System and have adequate funds, check here
i£you want this processed through your account []
JOS AnDP SS .5
CONTRACTOR
CHECK lEI ALL APPLICABLE
USE CATEGORY
ElSingle Family DDuplex EIMulti-Family
SERVICE [3New [:]Temporary
[]Change .j~llqot Applicable
mRental ]~Commercial Fllndustrial
TYPE F1Overhead ..l~INot Applicable
VIUnderground
FILL IN TH E APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches'# Fixtures #
CHECK lEI ALL APPLICABLE
F1Range V1Dishwasher I~Garbage Disposal [3Dryer I-1Water Heater
FIFan OR Blower F1Fumace ..EI"A/C mElectric Sign
VIMotors ElGas Pumps VlOther
DESCRIPTION OF ALL WORK BEING DONE ~A'"TYxf'odC;~ ~'/l C~"th~SD~x-J-d
VALUE (Including labor and all materials including light fixtures) $ ~' cd'O
MASTER ELECTRICIAN '~ IJ~ ~C~tM.~JT_.
3/02