HomeMy WebLinkAbout0103780-Electric (temporary service)OSHKOSH
ON THE WATER
.lob Address 2935 UNIVERSAL CT
Contractor WITZKE ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BROS LLC
Category 642- Commercial-New Building Wiring
Amps 100
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 103780
Create Date 08/26/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of New 7908 sf Medical Office Building/Temporary service for construction project.
Work
Fees: Valuation
Issued By:
$150.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 08/28/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
WITZKE ELECTRIC
ELECTRICAL PERMIT APPLICATION
All information after bom cat~$orles must bc pmvidc~
Incomplete applications will not he processed.
O?H O/H
· Application(s) and/'ce(s) can be brought to City Rail, Room 205 or mailed to Insp~tlon Services, PO Box 1128,
Osl~osh WI '$t~903-1128, Comm~olng work without permit(s) will result in fees being doubled or $100.00 plus the
normal p~rnit f~e, which aver is
OR
If You are_llM:oneractor vartict~ il the Permit Fee ,4ccount Svsta.: and }~ave adequate fund~. ~h~ck
if yau want this vroc~t~ed through your acvaunt ~
CHECK 1~ ALL APPLICABLE
USE CATEGORY
E3 Single Family ElDuplax 5]Multi-Yamily
SERVIC1~ ~New ~e~porary
~Change ~Not Applicable
FILL LN THE APPROPP, J[ATE BLAINK
Volts ~0 Receptacles # Circuits
Phase I
Amps /d'~ Switches # Fixtures
CI'I~CK [~ ~LL APPLIC.~BLE
ERange [2Dishwasher ElGarbage Disposal rUDryer
~Fan OR Blower OFurnace ~I,~'C IDElectric Sign
~Motors [~G~s Pumps DOther
r'l~,~,'ater Hea'.er
DESCRIPTION OF .aLL WORK, BEING DO,.NX, ~__
, 0