HomeMy WebLinkAbout0126345-Electric
o
OSHKOSH
ON THE WATER
Job Address 3000 POBEREZNY RD
Contractor TOWN & COUNTRY ELECTRIC
CITY OF OSHKOSH
No
126345
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
p New
o Change 0 Temp
Owner EM AVIATION FOUNDATION INC Create Date 08/17/2007
Category 640 - Commercial-Temporary Service Plan
. N/A Type QJ2yerhead o Underground ~
Circuits Luminaires
Switches --- Receptacles
Volts
Amps
Appliances
l_
Use/Nature of empora;y-power for-Ducks Unlimited. Job #385404. ""DEBIT ACCT*".
Work
Fees: Valuation __~O.OO
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$111.00
Date 08/20/2007
o Permit Voided I
Parcelld # 1323350000
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.
88/17/87 89:48:13
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Page 882
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City. of Oshkosh
Division ofInspecttotl Services
P.D.Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRlCAL PER:M:IT APPLICATI'ON
AU information after bold caftgories 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 Irispection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permlt(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR .
JOB ADDRESS .~
OWNER . .'
. CONTRACTOR ~(JWV\.
Ptr~Vl2'j
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DATE
6'-- \l-o:l
CHECK ~ ALL APPLICABLE
USE CATEGORY
DSingle Family
DDuplex
OMulti-Family
DRental
TYPE
~om.mercial DInduitrial
OOverhead ONot Applicable
o Underground
SERVICE ONew
o Change
o Temporary
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
DMotors
DDishwasher
OFurnace
DGas Pumps
OGarbage Disposal
DAle
o Other
DDryer DWater Heater
CJElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
'ViA~-b [;
1>16/ F~
ir: $ j( I.a)
~L{6
J ~ lQ 3/02
VALUE (Iud.dlng "bor and aU "'>>~I~" "''':'''~ "":' fix~") $ :3 \ 60c'\
MASTER ELECTRICIAN Klt'le6-. ..f-4 2L~Ce eft //cg
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