HomeMy WebLinkAbout0103050-Electric (outlets)OSHKOSH
ON THE WATER
Job Address 2307 OREGON ST
Contractor SCHAFER ELECTRIC INC
Service ~) New O Change C) Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT- APPLICATION AND RECORD
Owner OSHKOSH TRUCK CORP
Category 653 - Industrial-Addition/Remodels
I Type Q Overhead
Circuits 0
Switches 0
No103050
Create Date 07/23/2003
, Plan
(~ Undergmund
Fixtures
Receptacles
Appliances
Use/Nature of IND/Install 3 ea floor outlets.
Work
Fees: Valuation
Issued By:
$550.00 Plan Approval
$0.00 Permit Fee Paid $25.00
Date 07/23/2003
[] Permit Voided
In the performance of this work I agree to perform all work pumuant to roles governing the described construction.
Signature Date
Agent/Owner
Address 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number 920-725-2031
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 o£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.
O/HKO/H
ON THF WATER
· 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 $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check her~
if you want this processed through your account []
JOS ADDm~ss
OWNER
USE CATEGORY
V1Single Family V1Duplex V1Multi-Family
SERVICE VINew I~Temporary
V1Change .~q~t Applicable
12Rental
TYPE V1Overhead
,,~'O~nd~rground
DATE
RECEWED
JUL 2 ?
DEPARTt~ENT OF
CO~UN~TY DEVELOP~fENT
~mmercial ~dustfial
~Not Applicable
FILL IN ~I'H ~: APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps' Switches # Fixtures #
CItECK I~ ALL APPLICABLE
V1Range F1Dishwasher F1Garbage Disposal VIDryer
F1Fan OR Blower I~Furnace VIA/C VIEleciric Sign
UlMotors 12Gas Pumps v1Other
VlWater Heater
DESCRIPTION OF ALL woRK BEING DONE~
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN
3/02