HomeMy WebLinkAbout2003-Electric (3rd fl)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
3105 S WASHBURN ST
SOLAR ELECTRIC SERVICES INC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner EVERGREEN HOSPITALITY LLC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 100089
Create Date 03/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Rework electrical on 3rd floor for sprinkler system installation.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 03/05/2003
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 3443 BROOKS RD OSHKOSH WI 54904 - 0 Telephone Number
231-3990
.. City of Oshk°sh
Division of Inspection Services
P.O. Box 1130 ::-~'':'~
OShkOsh, WI 54903-1130
Phone (920)i 236'5050
Fax (920) 236-5084
O/HKO/H
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories 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 Inspection Serv/ees, 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 you are a contractor participating in the Permit Fee Account System and have adequate.funds, check here
if.you want this processed through your account []
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[-lSingle Family
SERVICE [New
[Change
[]Duplex FIMulti-Family
F1Temporary
EINot Applicable
l-'lRental
TYPE
DATE
MAR 0 Z 200,~
DEPART~£NT OF
¢O~Uf~IT¥ DEV£LOP~ENT
[-lCommercial []Industrial
[ZlOverhead
IZIUnderground
UINot Applicable
FILL IN THE APPROPRIATE BLANK WITH TR-E NUMBER
Volts / . · Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK ~ ALL APPLICABLE
[]Range ElDishwasher EIGarbage Disposal IZIDryer
[]Fan OR Blower E]Furnace [A/C [Electric Sign
[] Motors [] Gas Pumps [] Other
F'lWater Heater
DESCRIPTION OF ALL WORK BEIN~.G DONE
VALUE (Including labor and all materials
MASTER ELECTRICIAN __ -~.: i~:;.~
res) $
Electric Permit Work Card
Job Address 3105 S WASHBURN ST Permit Number 100089 Create Date 3/5/2003
Owner EVERGREEN HOSPITALITY LLC Contractor SOLAR ELECTRIC SERVICES INC
Service b New 0 Change 0 Temp . N/A I Type 0 Overhead 0 Underground . N/A
Volts Circuits 0 Luminaires 0
Amps 0 Switches 0 Receptacles 0
Use/Nature 643 - Commercial-Addition/Remodels COMM/ Rework electrical on 3rd floor for sprinkler system installation.
of Work
Value
$500.00
Inspections:
Date
Type
Inspector
DatelTime requested:
Access:
Requested by:
o Reinspect Fee 0 Fee Wavied
Notice Type:
Ready DatelTime:
Phone Number:
D Reinspect Fee Paid