HomeMy WebLinkAbout0117926-Electric (dialysis)
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OSHKOSH
ON THE WATER
Job Address 2700 W 9TH AVE
CITY OF OSHKOSH
No
117926
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MERCY MEDICAL CENTER OSH INC
Create Date 0111912006
Contractor
EXCELLENCE ELECTRIC
Category 643 - Commer<oial-AddltionIRemodels
Plan
Service
0 New
0 Change
0 Temp
. NIA
Type
Q Overhead
0 Underground ----.J
Volts
Circuits
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Fixtures
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Amps
~
Switches ~
Receptacles ~
Appliances
Use/Nature of Mercy Oakwood 1 Wiring for (4) four additional Dialysis stations. E.C. job #8436
Work
Fees: Valua:~ $9.375.00 Plan Approval $0.00
Issued By: " ~~ ~
0 Permit Voided I
Permit Fee Paid
$194.00
Date 0111912006
Parcelld # 0613670000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it Is not a party. if you perfonm the work
described in tI1is penmit application within an easement. the City strongly urges the penmit applicant to contact tI1e easement
hoider(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
~21 E MAIN ST
LITTLE CHUTE WI 54140 - 78
Telephone Number 920-687-2442
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.