HomeMy WebLinkAbout0103482-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
3000 POBEREZNY RD
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner E.A.A.
Category 840- Commercial-Temporary Service
Type I~ Overhead
Circuits 0
Switches 0
No 103482
Create Date 08/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/ Temp wiring for Ducks Unlimited event.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid $80.00
Date 08/12/2003
Permit Voided
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.
Signature Date
Agent/Owner
Address 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
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) 236-5050
Fax (920) 236-5084
2003
DEPARTMENT oFDfHKOfH
ELECTRICAL PERMIT A~i~I~ELOPME~ I
AIl ~o~ado~ ~tc~ bol~ catego~¢s must bc
]~comp]et¢ ~p]~cafio~s wi]1 ~ot be ~occssc&
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I£vou are a contractor participating in the Permit F~ee Account System and have adequate funds, check here
if you want this processed through your account
DATE
JOB ADDRESS
OWNER
CONT CTOR,
CHECK lEI ALL APPLICABLE
USE CATEGORY
E]Single Family [3Duplex F1Multi-Family
SERVICE [3New Cl~emporary
ElChange DNot Applicable
[3Rental ~l,Commercial Fllndustrial
TYPE [3Overhead DNot Applicable
[3Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits
Phase
Amps Sw.,~he~ ~ F~ .........
CHECK ~ ALL APPLICABLE
F1Range DDishwasher DGarbage Disposal DDryer [3Water Heater
ElFan OR Blower DFurnace DA/C [3EIect~c Sign
ElMotors F1Gas Pumps
VALUE (Including labor and all materials including light fixtures) $~>~ ,' ~) I~ L~, 6 c~
3/02