HomeMy WebLinkAbout0099482-Electric VOIDOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
333 W 29TH AVE Owner OSHKOSH TRUCK CORP
VAN ERT ELECTRIC Category 653- Industrial-Addition/Remodels
~) New (~ Change O Tamp I Type ~_ Overhead
Circuits 0
Am ps 0 Switches 0
No 99482
VOID
Create Date 01/16/2003
Plan
Underground
Fixtures
Receptacles
Appliances
Use/Nature of IND/Office addition; lights, receptacles and data stubs. *Job # F1287X.
Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 01/16/2003
[] Permit Voided I Duplicate #99420
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
333 W 29TH AVE
VAN ERT ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSHKOSH TRUCK CORP
Category 653- Industrial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 99482
Create Date 01/16/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of IND/Office addition; lights, receptacles and data stubs. *Job # F1287X.
Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval $0.00 Permit Fee Paid
$60.00
Date 01/16/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
01/15/03
,09,:~3 FAX 920 ?68 0883
VAN ERT ELECTRIC
~oOa
City o£ Oshkosh
Division of ~_ orion 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 nm,st be provided.
Incomplete applications will not !~ pmccucd.
· Application(s) nnd fcc(s) can be brought to City Hall, Room 205 or mailed t~ hspcmtion Services, PO Box !
Oshkosh WI 54903-1128. Gommeneing work without peri'alt(s) will r"~ult in f~s being doubled or $100.0C
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the permit,Fee dccq~tnt System and have adcauate fund~, ch
ff Vou 'Wa.t this procesged thro,.u, gh your account ~
C_nv. CK I~ ALL APPLICABL~.
USE CATEGORY
ClSingl¢ Family nDuplcx rqMulti-Family
SERVICE l'3Ncw F'lTemporary
I-IChangc ~Xlot Applicable
ClRental [ZICommercial J~Industrial
TYPE DOverhead ~[Not Applicable
~]Underground
FH.L IN THE APPROPRIATE BLANK WITH ~ NUMBER
Volt~ - / Receptacles # Circuits #
Phase
Amps. Switches # Fixtures #
CBECK ~I ALL APPLICABLE
[3Range DDishwashcr UGarbagc Disposal ClDryer
ClFan OR Blower ClFumace UA/C ClElectric Sign
DMotors DGn~ Pumps 1'3Other
13Water Heatcr
/ _.~'-~/-..
VALUE (Including labor and dl rate,als includfng light F~tur~)
~AS~R ELE~C~
[
CITY OF OSHKOSH
99482
No
V O I D
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date01/16/2003
333 W 29TH AVEOSHKOSH TRUCK CORP
ContractorVAN ERT ELECTRICCategory653 - Industrial-Addition/RemodelsPlan
ServiceTypeOverheadUnderground
NewChangeTemp
VoltsCircuits0Fixtures0
Amps0Switches0Receptacles0
Appliances
Use/Nature of IND/ Office addition; lights, receptacles and data stubs. *Job # F1287X.
Work
Plan Approval$0.00
Fees: Valuation$1,500.00Permit Fee Paid$60.00
Issued By:Date01/16/2003
üüPermit Voided
Duplicate #99420
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
2000 PROGRESS WAYKAUKUANAWI541300920-766-3888
Address-Telephone Number
CITY OF OSHKOSH
99482
No
V O I D
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date01/16/2003
333 W 29TH AVEOSHKOSH TRUCK CORP
ContractorVAN ERT ELECTRICCategory653 - Industrial-Addition/RemodelsPlan
ServiceTypeOverheadUnderground
NewChangeTemp
VoltsCircuits0Fixtures0
Amps0Switches0Receptacles0
Appliances
Use/Nature of IND/ Office addition; lights, receptacles and data stubs. *Job # F1287X.
Work
Plan Approval$0.00
Fees: Valuation$1,500.00Permit Fee Paid$60.00
Issued By:Date01/16/2003
üüPermit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
2000 PROGRESS WAYKAUKUANAWI541300920-766-3888
Address-Telephone Number