HomeMy WebLinkAbout0104026-Electric (boilers & pumps)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1551 SOUTHLAND AVE
VAN ERT ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner ELIJAH'S PLACE
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 104026
Create Date 09/08/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Install 3-new VAVs, 2- boilers, 1-AHV, 3-pumps, 2-EDHs and 15 wall OC sensors. *Job #F1555V.
Work
Fees: Valuation
Issued By:
$6,000.00 Plan Approval $0.00 Permit Fee Paid $120.00
Date 09/08/2003
Permit Voided
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
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.
09/04/02 07:39 FAX 920 766 0883 VAN ERT ELECTRIC ~002
City of Oshkosh
Division of Inspection Se~/ces
P.O. Box ! 130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-$05'~
All in~omlatlo n afle~ ~ld categories ~st ~ pwvi&d.
~o~lcm a~lka6om ~11 not ~ p~
A~li~on(s) ~d fc~s) ~ ~ ~u~t to Ci~ Hall, R~m 205 or mailed to ~spection ~, PO Box 1128,
Os~sh ~ 54903-I 128. ~c~g wo~ ~out ~t(s) ~11 ~lt in f~s ~ing doubl~ or $1~.00 plus
noel p~it ~, which e~ is ~cat~.
OR
you are a eonfractor oarttcivatine tn the Permi~ee ~ccount ~yile~ and have adeeuate Fund~, check
iiVou ~ant tiii vroe~sd~d tirou~a Vour account ~
CHECK El ALL APPLICABLE
1 CATEGORY
nglo Family ElDuplex I-IMulfi-Family
s~av~cE GN~ ~Temporar~
ClChange ~]~'lot Applioable
~,L IN 'l'U~ APPROPRIATE BLANK M~TH 'ri:u~ ~!~
Volts . / Receptacles #.,
Phase
Amps 8wRc.hes #
r'lRe~tal ~ommercial Cllndustrial
- TYPE CIOverhead ~iqot Applicable
ElUnd~rsround
Circuits
Fixtures # .
CHECK Iai ~ APPLICABLE
~Range ' riDishwash~r VIGarbage Disposal ~cr ~Wat~ H~
~F~ OR Blow~ ~F~ace OMC ~EI~c
~Moto~ ~ P~ps ~O~
VAJ~L~ (Incl udlng labor an~ nil materiats ineluding tight fixtures) ~ ~d