HomeMy WebLinkAbout0099807-Electric (elevator)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
3300 MEDALIST DR
EXCELLENCE ELECTRIC, INC.
I~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SMET INVESTMENTS LLC
Category 653- Industrial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 99807
Create Date 02/12/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of IND/Power wiring in association with the elevator.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval
$0.00 Permit Fee Paid
$45.00
Date 02/12/2003
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 321 E MAIN ST PO BOX 78 LITTLE CHUTE WI 54140 - 78 Telephone Number
(920) 687-2442
City of.Oshkosh
~Divisi°n of Inspection Services
P.O. Box 1130
· rV E D
Fax E920~23 ¢~08~F~
ELECTRICAL PERMIT APPLICATION
DEP^RT IENT OF ^n information after bold categories must be provided.
%E E U ITY DEVELOPgENT Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to Ci~ Hall, Room 205 or mailed to hspection Se~ices, PO Box 1128,
Os~osh WI 54903-1128. Co~eneing work without pemit(s) ~11 result in fees being doubled or $100.00 plus ~e
noml pe~t fee, which ever is ~eater.
OR
!f Fou are a contractor participating:in the Permit Fee Account SFstem and have adequate_funds, check here
[f.Vou want this processed through v~ur account ~
DATE~--~ ' Z ~ O~
CHECK [] ALL APPLICABLE
USE CATEGORY
'-lsingle Family F1Duplex F1Multi-Family r-lRental FICornmercial ,~dustrial
SERVICE [3New F1Temporary TYPE F1overhead .J~Not Applicable
FlChange F1Not Applicable F1Underground
FILL IN TI-W. APPROPRIATE BLANK WITH THE NUMBER
Volts · / Receptacles # Circuits
Phase
Amps Switches # Fixtures
CHECK [] ALL APPLICABLE .
EIRange F1Dishwasher [3Garbage Disposal [3Dryer [3Water Heatey~
nFan OR Blower F1Fumace [3A/C~,~''-~ .. -- -- FIElec,tric Sign,,~'~ / '
I-IMotors F1Gas Pumps '
~OF ALL WORK BEING DONE
?fALUE (Including labor and all n)~terialS includ,,[tug iight fiXtures) $ /