HomeMy WebLinkAbout2002-Electric (office remodel) 17 CITY OF OSHKOSH No sn�s
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OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER ��
Job Address 3300 MEDALIST DR Owner SMET INVESTMENTS LLC Create Date 08/27/2002 �
Contractor EXCELLENCE ELECTRIC, INQ Category 653-Industrial-Addition/Remodels Plan 'I
Service New � Change � Temp Type Overhead __ Underground _ _� I
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances ��
Use/Nature of IND/Offce Remodel. �
Work
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Fees: Valuation $50,000.00 Plan Approval $0.00 Permit Fee Paid $300.00
IssuedBy: Km � Date 10/07/2002
� PermitVoided '
In the pertormance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgenUOwner
Address 321 E MAIN ST PO BOX 78 LITTLE CHUTE WI 54140 -78 Telephone Number (920)687-2442
. �J�� J / � �'
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130 �L�� B
_ Phon�(92�)236-5050 � � OIHKOIH
Fax 920 236-5084
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applicarions 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 pernut(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
Ityou are a contractor participatine in the Permet Fee Account Svstem and have adequate funrls check here
ijvou want this processed throuQh vour account ❑
i /
DATE /D��/0 2
JOB ADDRESS�3O O �ETi9 L!S% J�i2/WE
OWNER /9" C' CEJiY/P/1t$S o�2 i��I `i: � f ' T' ��i�'�" '��
CONTRACTOR �X CELL r�/GN' G�-�GTi��C, l,✓c , � �--��
0CT 0 G 2G(ii'
CHECK H ALL APPLICABLE
r;roFl�RTj41E^JT 0F
�JSECATEGORY ���rv!,��?�i�J�.�'�/ r�^ r
- �7Single Family ❑Duplex ❑Multi-Family ❑Rental ��biri4�t�fc�ia4''���E`�iT�fl�i�l
SERVICE ONew OTemporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN TIiE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK Bf ALL APPLICABLE
�Range ❑Dishwasher ❑GarbageDisposal ODryer ❑WaterHeater
❑Fan OR Blower ❑Fumace �A/C ❑Electric Sign
❑Motors ❑Gas Pumps �Other
DESCRIPTION OF ALL WORK BEING DONE O FF f CE �ti✓61/�o.t/ l�l-Er4S t /
,_./ALUE (Including labor and all materials including light fixtures) $ � b� 000
MASTER ELECTRICIAN `-��z�� Y �'�� �"'�'" �2� ' � �
3/02