HomeMy WebLinkAbout0099194-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
1508-1530 S KOELLER ST Owner MENARD INC
B. Q. ELECTRIC SERVICES Category 643 - Commercial-Addition/Remodels
D New 0 Change 0 Temp I Type (~ Overhead
Circuits 0
Amps 0
Switches 0
No 99194
Create Date 12/26/2002
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/1528/Total rennovation to become Big Lots.
Work
Fees: Valuation
Issued By:
$50,000.00 Plan Approval
$0.00 Permit Fee Paid $300.00
Date 12/26/2002
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
(920)233-9005
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.
O/HKO/H
THE WATER
Application(s) and fee(s) can be brought to Cit,) 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 $1.00.00 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 here
if you want this processed through your account [] ~('J. ILA.~.~ '~.~J~CTh I~-'~'-~ '
JOB ADD~S~ S, ~~t~ %' RECENED
CHECK [] ALL APPLICABLE
USE CATEGORY
[2Single Family F1DuPlex
F1Multi-Family
F1Rental
SERVICE [lNew 5]Temporary TYPE
FIChange ' F1Not Applicable
DEP RT EI'IT OF
CO NIUNITY DEVELOPNIDIT
~Comrncrcial r-INdustrial
[:]Overhead Ii]Not Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
5]Range FIDishwasher
[2]Fan OR Blower F1Furnace
F'lMotors F1Gas Pumps
DESCRIPTION OF ALL WORK BERING DpNE' [----~~
F1Garbage Disposal
nA/C'
FlOther
F1Dryer F1Water Heater
rlElectric Sign
VALUE (Including labor and a~~/?Is incl~~/fi~es) $.50i ~r~.~
MASTER ELECTRICIAN~%;4/[.-~,,~2:>, t.-.--'-~.~ ~,~
3/02