HomeMy WebLinkAbout0103787-Electric (rooftop unit)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1300 S KOELLER ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SHOPKO STORES INC
Category 843- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103787
Create Date 08/28/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Hook up rooftop unit.
Work
Fees: Valuation
Issued By:
$250.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 08/28/2003
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 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.
RUG. ~0. P_i~OB 3: 43PM
Division of Impeatou Sec'ices
P.O. Box 11~0
Os~osh, WI 5490~-1130
P~ (920) 23~50f0
Fax (920) 236.50~
WITZKE ELECTRIC HO. 56~ P.777
ELECTRICAL PERMIT APPLICATION
All ilfl'orn~afion after bold ca~egori~ must be provld~d.
Incomplete applica~iom will not be ~ocessecl.
a Application(s} and fee(s) aah be brousht to Civj Hall, Room 203 or mailed to Inspection ~crvices, PO Box 1128,
Oshkosh Wt '54903-1128. Corrallenoing work without perrmt(s) will result in fees lx:ing doubled or $I00.00 plm the
normal p~rmil tee, which ever is greater.
OR
'
CHECK I/I ALL ,~PPLIC~.BLE
USE CATEGORY
ElSingle Family r~Duplex ~Multi-Family
S~RVICE ElNcw F1Temporary
~]Chan~e ~'Not Applicable
FILL IN THE APPROPRIATE BLANK WITH TKE
Volts [ Receptacles #
Phase
Amps __ Switches
E]Rental ~Commerciai E]ladustfial
TYPE L'lOverhead ,~Not Applicable
I"~Underground
Circuits
Fixtures
CHECK ~ ALL APPLICABLE
~P,,ange ["lDishwa~her l~Garbage Disposal [2Dryer 12Water Heart
~Fan OR Blower ~Fumac~ ~MC ~Elecmc Si~
~Moto~ ~Gas P~ps ~O~er
VALUIil (Ineludin~ labor and ~11
MASTER