HomeMy WebLinkAbout0127230-Electric (boiler) CITY OF OSHKOSH No 127230
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD 1
ON THE WATER 6 0q ,y
Job Address 605 MERRITT AVE Owner ST MARYS CONG Create Date 10/11/2007
Contractor VAN ERT ELECTRIC CO INC Category 643 Commercial- Addition /Remodels Plan
Service O New O Change O Temp N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of ST MARYS CHURCH WIRE NEW BOILER, JOB #F2034 -AR *check #3241
Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: Date 10/11/2007
Permit Voided Parcel Id 0404350000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 9562 Telephone Number 920 766 3888 462 14:
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.
-t clee 6
(IPA 'I CITY OF OSHKOSH No 127230
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER 1 1,1
Job Address 442 MONROE ST Owner ST MARYS CONG Create Date 10/11/20 D P 's
Contractor VAN ERT ELECTRIC CO INC Category 643 Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp N/A Type 0 Overhead Q Underground
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of ST MARYS CHURCH WIRE NEW BOILER, JOB #F2034 -AR **check #3241
Work
Fees: Valuation $1,00 0.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: -<=5 5 Date 10/11/2007
CCCCJJJJ D Permit Voided Parcel Id 0404350000
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 9562 Telephone Number 920 766 -3888 462 -14:
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.
City of Oshkosh E C V E
Division of Inspection Services
P.O. Box 1130 10 J NED
Oshkosh, WI 54903-1130 OCT 1 1 2007
Phone (920) 236 -5050
Fax (920) 236 -5084 DEPART Of I DPI
ELECTRICAL P ERM I T AP ON THE WATER
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 Services, PO Box 1128,
Oshkosh WI 54903 -1 128. Commencing work without perrnit(s) will result in fees being doubled or $100.00 plus
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 h
if you want this processed through your account
DATE /V/8/0 9
JOB ADDRESS 42_ kicnr 3 r
OWNER I t elessed S a(kett` ek
CONTRACTOR 64 F I -e 6
CHECK 12I ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi- Family ❑Rental Commercial ❑Industrial
SERVICE [New ❑Temporary TYPE ❑Overhead 1lot Applicable
❑Change )ot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles Circuits
Phase
Amps Switches Fixtures
CHECK Ed ALL APPLICABLE
❑age ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE i r- i V Lt.c i �r-
VALUE (Including labor and all materials including light fixtures) 6 666
MASTER ELECTRICIAN
F.1dr 4-- rn4 _u IS 696 oo