HomeMy WebLinkAbout2003-Electric (lights/compressor)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
155 N SAWYER ST
SUBURBAN ELECTRIC INC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HAROLD J BLUM TRUSTEE
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103766
Create Date 08/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Change out lights, install new lights, and reconnect power to compressor.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 08/27/2003
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 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 Oskkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· 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
If you are a contractor participating in' the Permit Fee Account System and have adequate funds, check here
if you want this processed through Four account []
DATE ~ 7//~/D..~
CHECK [] ALL APPLICABLE
USE CATEGORY
[]Single Family []Duplex []Multi-Family
SERVICE 12New F1Temporary
F1Change EINot Applicable
[]Rental F1Commercial []Industrial
TYPE F1Overhead I-1Not Applicable
DUnderground
FILL IN 'I'H I~'~ APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHI~,CK [] ALL APPLICABLE
ElRange F1Dishwasher
I-'lFan OR Blower ElFurnace [3AJC
[]Motors [3 Gas Pumps [] Other
DESCRIPTION OF ALL WORK BEING DONE 0J~33~C~.
F1Garbage Disposal
F1Dryer ElWater Heater
F1Electric Sign
VALUE (Including labor and all mat~ia~ includ~g light fix/91res) $ 2 ,b(~-
MASTER ELECTRICIAN ~ .)
3/02