HomeMy WebLinkAbout2002-Electric (bays 3 & 4 lighting) /� CITY OF OSHKOSH No98379
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3300 MEDALIST DR Owner SMET INVESTMENTS LLC Create Date 1'I/04/2002
Contrector EXCELLENCE ELECTRIC, INO. Category 653-Industrial-Addition/Remodels Plan
Service New Q Change O Temp Type Q Overhead Q Underground J
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
UselNature of IND/Bays 3&4 lighting.
Work
Fees: Valuation $'19,000.00 Plan Approval $0.00 Permit Fee Paid $207.00
Issued By: Date 11/04/2002
� Permit Voided I,
In the pertormance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenVOwner
Address 321 E MAIN ST PO BOX 78 LITTLE CHUTE WI 54140 -78 Teiephone Number (920)687-2442
• ' 3o�3s �07.�
O Divieioa of inepeceion Ssrvicae /._�` � �; .
� 215 Church Avenue � "'f �
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P.O. Hox 1130
� Oefikoeh. WI 54903-1130 . �� (� .
Fax (920) 236-S0B4 !JC� � � ���-.
LU�IC
Phoae (920) 236-5046
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ELECTRTCI�I, PTFtDBIT APPL�CATION
All information aEter bold categOriGs muat be provided.
incomplete applicatione will not be proceased.
DATS /O/3JjOZ
JOB ADDRBSS 330o Mk 1��4 US T rJYC • s�f962
owxsR ,¢ C CD/Y/ Pi2E SS O /Z G E YO 11�ER S yS7'E/y1S
corr°xac^,oa tketL!���Gc= E!G--G�;?�� , !N`
CIRCLB ALL APPLICABLS
IIS8 CATBGORY SINGLE FAMILY DUPLEX MULTI-FRMILY RENTAL COMMERCIAL INDUSTRIAL
S$RVICB NEW CHI�NGE TEMP0RARY NOT APPLICASLE
TYPE OAERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
�AMPS VtleLT9 / pNAS$
CHSCK ALL APPLICABLB
RANGE WATER HEATER GARBAGE DISPOSAL_ DRYER_
DISHWASHER FAN OR BLOWER FURNACE_ A/C_
ELECTRIC SIGN_ MOTORS_ GAS BUMPS_ OTHSR
f
L18�CRIPrICigv aF i�.i �t'iTu: �ffii?i� +7t'icEB �n� r ,3F !1 / tC�H i: +`-1 �
• Submit payment with apy>lication. Failure to pay within 30 days will result in
feea being doubled or $T00.00 plue the normal permit fee, which ever is
greater.
f VALIIB (Iacluding labor �ad s11 �pat�rial•.including light fixtur��) $ �9�0 � � � � �
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MASTBR BLSCT&ICIAN � .