HomeMy WebLinkAbout2003-ElectricOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1950 OMRO RD Owner B & G REALTY Create Date 01/20/2003
Contractor B.Q. ELECTRIC SERVICES Category 643- Commercial-Addition/Remodels Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Switches 0 Receptacles
Amps 0
No 99517
Appliances
Use/Nature of COMM/Semi ran off highway - took out post w/lights - all work was temporaried to clean up live electrical at time of accident - work in progress
Work repair elect circuit box for sign - replace pole, lights & concrete base.
Fees: Valuation
Issued By:
$6,000.00 Plan Approval $0.00 Permit Fee Paid $120.00
Date 01/20/2003
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 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
JAN 1
ELECTRICAL
Incomplete aiYp~fi~fitibhS ~11 not be processed.
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 thc
normal permit fee, which ever is greater.
OR
[£¥ou are a contractor participating in the Permit Fee Account System and have adequate £unds, check here
if you want this processed through your account []
JOB ADDRESS Iq
OWNER
CHECK [] ALL APPLICABLE
USE CATEGORY
F1Single Family YlDuPlex nMulti-Family FlRental
sERVICE []New nTemporary TYPE
[] Change 'nNot Applicable
~[Commercial Fllndustrial
F1Overhead nNot Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
ORange nDishwasher F1Garbage Disposal •Dryer •Water Heater
•Fan OR Blower •Furnace •A/C' / / ic:,h f
l-lMotors F1Gas Pumps ~Other ~a i P AO[ ¢OElectric Sign
] - w' · '~"fl -
DESCRI. PTION OF ALL WQRK~BlglNG DONE d~ ~ C~j(. ~.~~/f-- ~~
VALUE (inaaaing~bor and a~L~teria~s inauaing ~ignt nxtnres) $ (~ ~M()C ~
3/02