HomeMy WebLinkAbout0103854-Electric (lights)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
149 W 24TH AVE
VALUE ELECTRIC
[~ New (~) Change (~) memp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner 149 W 24TH AVENUE LLC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 1
Switches 1
No 103854
Create Date 09/02/2003
Plan
~ Underground
Fixtures
Receptacles
18
0
Appliances
Use/Nature of COMM/Install ceiling lights in crawl space.
Work
Fees: Valuation
Issued By:
$900.00 Plan Approval $0.00 Permit Fee Paid $40.00
Date 09/02/2003
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 1220 GREENFIELD TRL Oshkosh WI 54904 - 0 Telephone Number
233-4533
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.
OSHKOSH
ON THE WATER
Job Address 149 W 24TH AVE
Contractor VALUE ELECTRIC
Service ~ New (~ Change (~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner 149 W 24TH AVENUE LLC
Category 643 - Commercial-Addition/Remodels
I Type (~ Overhead
Circuits I
Switches I
No103854
Create Date 09/02/2003
Plan
(~ Underground
Fixtures
Receptacles
18
0
Appliances
Use/Nature of COMM/Install ceiling lights in crawl space.
Work
Fees: Valuation
issued By: ~
$900.00 Plan Approval $0.00 Permit Fee Paid $40.00
[] Permit Voided j
Date 09/02/2003
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 app]icent to contac the easement
holder(s) an~d/o secure any ,~c~ary approves befor~ing s,.u~/~cactivity. ~ .
Signature ~. [.~_/¢/~.~ .4 ..¢ .¢~ ~Jy .//~/&-'/~' ~;;;~///~.-~' Date ,/ ~~/
Address 1220 GREENFIELD TRL Oshkosh WI 54904 - 0 Telephone Number 233-4533
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 Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236~5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
OSHKOSH
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 .~ccount System and have adequate funds, check here
if you want this processed through your account []
cowr CTOR ,DCx) /q
CHECK [] ALL APPLICABLE
USE CATEGORY ~' l~~t al~
nSingl¢ Family DDuplex nCommcrcial I-lindustrial
SERVICE [3New nTempora"i~ ~ ~ ~ DOverhead F1Not Applicable
nChange [3Not Applicable [3Underground
FILL IN TItF. APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase /
Amps Switches #
Circuits #
Fixtures
CItECK [] ALL APPLICABLE
gRange [3Dishwasher nGarbage Disposal
[3Fan OR Blower [3Furnace [3A/C
F1Motors [] Gas Pumps [] Other
[3Dryer
[3Electric Sign
[3Water Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including ligh. t fixtures) z ! ,
3/02