HomeMy WebLinkAbout0099772-Electric (outlets)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1508-1530 S KOELLER ST
FORWARD ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MENARD INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 7
Switches 2
No 99772
Create Date 02/10/2003
Plan
~ Underground
Fixtures
Receptacles
0
21
Appliances
Use/Nature of 540~ BIG LOTS/Install cash registers, service desk, and seasonal special outlets.
Work
Fees: Valuation
Issued By:
$16,500.00 Plan Approval $0.00 Permit Fee Paid
$400.00
Date 02/10/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6909 RAYWOOD RD MADISON WI 53713 - 0 Telephone Number
(608) 221-1945
F$~.c~ 03 03 02:2Sp Oshkosh Inspections 920-236-5384
67 07
;hr. of Oshkosh
r' ,~:[.~ion of Inspection Services
'~.~..~, Box 1130
,-~;hkosh, WI 54903-1130
': ?i, me (920) 236-5050
':;:t:, (9;!0) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
A:pPlication(S)oshkosh_ WI 54903-1and fee(s)128.Cancommencingbe brought tOworkCitYwithoutHall, Room 205 or mailed to Inspection. Ser vic.e ~, ?O 13~ ,x l .l~i
permit(s) will result in fees beini~; doubted
-~on-nal permit fee, which ever is greater.
p , v--art:c~ating in the Permit Fee Account Sys.tem and ht~v_,~e.:!La~Lq~Zi~!.'...i;~:~:
'?k_~,'~?u are__. _ _a contractor
".;:~vo u__want th is. roc essed th_rough .vou ra ccount. ~'a ,Ar,.' ,..
/
HECK l~l ALL APPLICABLE
CATEGORY
S, ingle Family F1Duplex ElMulti-Family
!i i[;RVICE ElNew E]Temporary
IZIChange IZINot Applicable
nRental
TYPE
F1Overhead ~xt 'r: ,~:',pi~t' c'i): c
FlUndergroxra.d
171ILL IN TIlE APPROPRIATE BLANK WITH TItE NilMBER
'Volts __ / Receptacles #_
Phase Switches #_
C'ircnittl :;~ ~ .........
F'~xt~.are:~ #__~.~--. ....
CHECK [] ALL APPLICABLE
;]]La-nge F]Dishwasher ElGarbage Disposal EID~ycr
!~]]?an OR Blower EIFumacc F1A/C UJElectd,: Sign
.2INfotors nGas Pumps IDOther
· VALLTE (Including labor and all materials including light fixtures)
5-00.
X[ASTER ELECTRICIAN