HomeMy WebLinkAbout0123844-Electric (temp wiring)
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OSHKOSH
ON THE WATER
Job Address 1001 WWAUKAUAVE
Contractor TOWN & COUNTRY ELECTRIC
CITY OF OSHKOSH
No
123844
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WINNEBAGO COUNTY
Create Date 03/19/2007
Category 640 - Commercial-Temporary Service
Plan
Service
p New
o Change . Temp
ON/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Switches
Appliances
Use/Nature of ICOMM / Temporary wiring for WPS farm show. Received Check #795767 for $120.00. Fee is $128.00, bal of $8.00 to come from fee
Work account.
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$5,000.00
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Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$128.00
Issued By:
Date 03/19/2007
o Permit Voided I
Parcelld # 1323530000
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 perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number 920-225-6507
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.
. CitY of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
(I)
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account 0
JOB ADDRESS V 1\\1 ~ '
OWNER t ~{~ (\\\\f:,~Yr;, ~~
CONTRACTOR\OiA)V\ ~ VD\~cttr1 t'leCtv1(./
DATE
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CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family
o Duplex DMulti-Family
~mporary
DNot Applicable
o Rental
~ommercial
DIndustrial
SERVICE DNew
DChange
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
DRange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
o Garbage Disposal
DAle
o Other
DDryer DWater Heater
DElectric Sign
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VALUE (Indoding labor and "'Ii~t~r,.l' ~n:'nding light lixtnr,,) fJ 1200
MASTER ELECTRICIAN ~ ~ r~ tJ.-
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/ '23 3/02