HomeMy WebLinkAbout0103894-Electric (fire damage room 133)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1100W SMITH AVE
EXCELLENCE ELECTRIC, INC.
I~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSH AREA SCHL DIST NORTH HIGH
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103894
Create Date 09/03/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Commercial/School/Replacement of branch wiring & devices in Room 133 - Due to fire. *Job #4420-EI.
Work
Fees: Valuation
Issued By:
$1,065.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 09/03/2003
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 321 E MAIN ST PO BOX 78 LITTLE CHUTE WI 54140 - 78 Telephone Number
(920) 687-2442
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
f~'~ 3shkosh, WI $4903-1130
Jhone (920) 236-$050
Fax (920) 236-$084
O/HKO/H
ON THE '~,MATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications 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 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 Account SFstem and have adequate funds, check here
if you want this processed through YOur account []
DATE
JOB ADDRESS
CONTRACTOR
CHECK [] ALL APPLICABLE
'ISE CATEGORY
/1Single Family F1Duplex F1Multi-Family
SERVICE IDNew F1Temporary
PlChange r'lNot Applicable
F1Rental V1Commercial VlIndustrial
TYPE F1Overhead VINot Applicable
EIUnderground
FILL IN THE. APPROPRIATE BLANK WITH TFIE NUMBER
Volts .
Phase
Amps
Receptacles #
Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher F1Garbage Disposal
I-1Fan OR Blower UIFumace [21A/C
UIMotors FIGas Pumps [:]Other
DESCRIPTION OF ALL WORK BEING DONE
[]Dryer
[:]Electric Sign
VlWater Heater
f-" 'ALUE (Including labor and all mjll,erials including light fixtures) $
3/02