HomeMy WebLinkAbout0099027 EOSHKOSH
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 600 CITY CENTER
Contractor VAN ERT ELECTRIC
Service D New (~ Change (~ Temp
Volts
Amps 0
Owner CITY CENTER ASSOCIATES, LLC
Category 643 - Commercial-Addition/Remodels
I Type 0 Overhead
Circuits 0
Switches 0
No 99027
Create Date 12/11/2002
Plan
Underground
Fixtures
Receptacles
0
0
Appliances
Use/Nature of COMM/SCANDIA SPA/Add recps & lights for tenant build-out. *Job #F1290CD
Work
Fees: Valuation
Issued By:
$10,000.00 Plan Approval $0.00 Permit Fee Paid $180.00
[] Permit Voided
Date 12/11/2002
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
VAN ERT ELECTRIC [~002
12/09/02
12:56 FAX 920 766
0583
Cillt of Osltkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All iDi'orrnation after bold categories must bc provided.
Incomplete applications will not be pt'ocessed.
OJl-KOfH
ON THE
· Application(s) nnd fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh ~ 54903-112g. Commencing work without permit(s) will result in fees being doubled or $100.00 plus ti
normal permit f¢¢, which ever is greater.
OR
If vo~u are a contractor par~icipatin~.i.n the Permi~ee Accou, nt ~;Fstem and have adequate funfl~, check hi'
if you want this proce, sf~d through ~q_ur account ~
DATE
/
coNT croR Va '
CHECK i/I ALL APPLICABLE
USE CATEGORY
I'-]Singlc Family DDuplcx
r-IMulti-Family [=lRental
TYPE
SERVICE ~Ncw
El'Chan~e
rlTcmpomry
I-INot Applicable
Commercial VIIndustrial
f'lOverhead EINot Applicable
~Underground
FILL IN TI~. APPROPRIATE BLANK WITH T~K NUMBER
Volts · / Receptacles # Circuits #
Phase
Amps Switc.hes # Fixtures #
CI~.CK [] ALL APPLICABLE
EIRange EIDishwasher ElGarbag¢ Disposal' lrlDryer ElWat~r Heater
I~Fan OR Blower i']Fm, nace EIA/C ~Eleclric Sign
i-IMotors K]O~ Pumps ~Other
VALUE (Inclnding labor an~l all materials including light f-mares
1~2/~9/02 12:58 FAX 920 766 088~ VAN ERT ELECTRIC ~00!
DA TE:
COMPANY..
CONTACT NAME:
Van Eft
ELECTI~C COMPANY, INC.
2000 Progress Way. Kaukauna. WI 54130
Tel: (920) 766-3888 Fax: (920) 766-0883
Idfp:l/www.vanert. com
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