HomeMy WebLinkAbout0104025-Electric (bathroom)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
225 N EAGLE ST
VAN ERT ELECTRIC
[~ New (~ Change (~ Tamp
Amps 20
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BETHEL HOME INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 3
Switches 2
No 104025
Create Date 09/08/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Remodel bath. *Job #F1556-AX.
Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval $0.00 Permit Fee Paid $75.00
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.
-09/08/02 10:¢3 FAX 920 ?$$_0_S_~.;~ VAN ERT ELECTRIC [~00!
of OshkoSh
Divi~;oo oflmpection
Box l 1 ~0
Os~esh, WI ~4~3-1 ~30
Pho~ (920) 236-5050
(920) 236-5084
ELECTRICAL PERM IT APPLICATION
All infom~tion after bold c~t~goric~ most be ptovlded.
lncorr~tete applications will not bc processed.
O/HKO/H
s Apptic~tinn(s) and fee(s) c~ be brought to City Hall, RoOm 205 or marled to Inspection Services, PO Box 1128,
OshkoSh WI $4~03-1128. Commencing work without pcrmh(s) will result in fees being doubled or $100.00 plus
normal pen, nit fee. which ever is greater.
OR
If you are a contractor t~aF/.icipattne in the Perm'llrFee .4ccount SYstem and have adeouate t'und$, check I
£fvouwanttltlspro¢¢,$~dtkrou~b_.youraccount~ DATE q/* 10~
CIiECK 1~ &!.t. APPLICABLE
USE CATEGORY
nSinglc Family I-IDupinx r'lMuhi-Family
SERVICE~ OT~-mporary
gc FlNot Applicable
F~Rental '~,ommcrcial I'llndustrial
TYPE ~Overhead ~q'ot Applicable
[2Under/Found
lnX.l. IN 'rltt~ A.PPROFRIATE BLAN~ Wi:i'lt Tli~ NUMBER.
Volts · 1 2D / Recepacles # . ,~ ,
Ph~e e~
Amps , , Switches # c~
Circuits
F'ucture~
CHECK ~ ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
OFan OR Blower 12Fumaee I-IA/C
OMotors ITIgas Pumps OOthcr
rl~Icctric Sign
~Wa~r Hearer