HomeMy WebLinkAbout0099705-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
3660 JACKSON ST
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BERGSTROM OLDS-CADI GMC TK-NISS I1~
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 99705
Create Date 12/04/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Convert the repair garage to a body shop. *Job #930101
Work
Fees: Valuation
Issued By:
$82,890.00 Plan Approval
$0.00 Permit Fee Paid
$399.00
Date 02/06/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THE WATER
ELECTRICAL· PERMIT APPLICATION
All information after bold categories must be Prov. ided. , c','~'Z~ '~ ('/4 /
Incomplete applications will not be processed. It "~'~J A- ~0
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Bok 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 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
(f,r'ou want this processed through your account. []
JOBA Dm SS 3(o S jadCSO .
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COmaACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[]Single Family []Duplex
[]Multi-Family
SERVICE FINew
[3Change
[3Temporary
Not Applicable
[]Rental
TyPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts - / Receptacles #
Phase
Amps Switches #
JAN 0 6 20n3
JAN O 6
DEPARTMENT OF
o~ercial ~hdusffial
~Ov~head ~ot Applicabl~
~Und~o~d
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
E]Range
F1Fan OR Blower
r-IMotors
FIDishwasher
[3Furnace
VIGas Pumps
[3Garbage Disposal
[]Dryer
ElElectric Sign
EIWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN
01/30/2003 THU 13:$0
FA:[ 920 738 8987 SERVICE
"'J~-28~-2003 TUE 09:57 ~ tlIRON OONSTRUCTION
FAX ~. 9~09697369
[~001/001
P. 01
~ROJg~ COORDLqATOit:
B~ C~llision Ccm
FAITH ~OLOOIP. S
JOB NUM~B~ 31900
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CON31~CTDAT~: 01/27/
ISsuED: C
EIGHTY-TWO THOUSAND ~OHT I-IUN~RI~ NIt.T\'
10% Cost COM~: t 6000
Jamm W, St, aM
Bov~e F, Zicgcnhagen
SCOI'E OF WORK: