HomeMy WebLinkAbout0103418-Electric (ceiling recptacle)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
501 503 DOCTORS CT
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner STEPHEN M DUDLEY M D LTD
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103418
Create Date 08/08/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/503/ Install a ceiling receptacle for display case.
Work
Fees: Valuation
Issued By:
$200.00 Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 08/08/2003
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 PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
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.
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.
AUG. 8.2~03 ll:21RM WITZKE ELECTRIC
H0.441 P,3/4
Djvisiolt of Ir. spectiou Se~ces
P,O, Box
~o~ WI ~4~3-1130
Pho~ (920) 236-50~0
Fax (~20)
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) md fee(s) can be brought m City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI '54903-1128. Commencing work without permit(s) will rc~uh in fees being ~toublcd or $100.00 plus the
normal permit fe~, which eve- is ~rceter,
OR
If you are a contrt~cror v,~rtifi~.atfne i~ the P~mit Fee ~4ccou~t 5v~m and A~ve ~auote fuBds, check her*
CI~iCK ~I ALL APPLICABLE
Ub~E CATEGORY
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E~Duplcx ~Multi-Family
ElTempor,,ry
nNot Applicable
[2Rental F1Commercisl Ellndustrial
TYPE ~Overhead [~Not Appliceble
ElUnderground
FILL IN THE APPROPRIATE BLANK WITH TI-~ ~
Volts / Receptacles ~, / Circuits
Phase
Amps Switches e-.. Fixtures
CKECK g ALLAPPLICABLE
I21Range r'lDishwasher EIGarbage Disposal ElDryer mWater Heater
[~Fan OR Blower F1Furnace EIA/C nElectric Sign
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