HomeMy WebLinkAbout0099555-Electric (power feed)CITY OF OSHKOSH
99555
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date01/16/2003
645-705 LEEWARD CT WESTLEEWARD PROPERTIES LLC
ContractorSUBURBAN ELECTRIC INCCategory653 - Industrial-Addition/RemodelsPlan
ServiceTypeOverheadUnderground
NewChangeTemp
Volts480/277Circuits2Fixtures0
Amps20Switches0Receptacles4
Appliances
Use/Nature of IND/ #645/ LATE PERMIT/ Install power feed to control cabinet & IES disconnect on folder, hoist power & convenience receptacles by
Workequipment. *Late fee waived per KB.
Plan Approval$0.00
Fees: Valuation$2,500.00Permit Fee Paid$75.00
Issued By:Date01/22/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
709 HICKORY FARM LNAPPLETONWI549150(920) 739-5156
Address-Telephone Number
Division of Inspection Services .Ii~ ~¢~ ~/~. ~
P.O. Box1130 ,~ ~ V ~ /
Os~osh, WI 54903-1130 ., ~ .... ·
Phone (920)236-5050 X~ ~N ~ ~ ~003 ~ ~
Fax (920) 236-5084 '
All infomtion after bbT~egc ~ must
Incomplete applications will not~essed.
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 Fou are a contractor participating in the Permit Fee Account SFstem and have adequate funds, check here
~f you want this processed through Four account []
JOB ADDRESS 645 LEEWARD COURT W
OWNER SWANSON WIPER
CONTRACTOR SUBURBAN ELECTRIC
CHECK [] ALL APPLICABLE
USE CATEGORY
[]Single FamilY F1Duplex ' []Multi-Family
SERVICE [3New FI Temporary
[3Change [3Not Applicable
DATE 1/13/03
,.lAN ? 6 200.1
COM DEPARTMENT OF
MUiViTy DEVELOPMENT
[]Rental
[]Commercial [Xllndustrial
TYPE DOverhead
IZIUnderground
[3Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 480- / 277 Receptacles # 4
Phase 3
Amps 20 Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
ElRange FIDishwasher FIGarbage Disposal.
[]Fan OR Blower [3Furnace UIA/C
[]Motors [] Gas Pumps F1Other
F1Dryer
ElElectric Sign
[3Water Heater
DESCRIPTION OF ALL WORK BEING DONE
POWER FEED TO CONTROL CABINET & IES DISCONNECT ON FOLDER, HOIST POWER,
CONVENIENCE RECEPTACLES BY EQUIPMENT.
VALUE (Including labor and all ~ials inc~h~/~g/~xtures) $
MASTER ELECTRICIAN /<[-~/?.~'~d~Z~
2,500.00
'3/02