HomeMy WebLinkAbout0100278 EOSHKOSH
ON THE WATER
.lob Address 2051 S WASHBURN ST
Contractor TOWN & COUNTRY ELECTRIC
Service [~ New (~ Change
Volts 277/480
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH
Category 653 - Industrial-Addition/Remodels
Amps 600
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100278
Create Date 03/13/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Lift Station / Replace the Fusible Service Disconnect with a MOB (12KAIO fault current witha 50KAIO MOB)
Work
Fees: Valuation
Issued By:
$12,000.00 Plan Approval $0.00 Permit Fee Paid
$0.00
Date 03/19/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920) 225-6507
03/14/2003 FRt 13;45 FAX 920 738 8987 SERVICE
City of Oshkosh
Division o£lnspe~tion Sei-ei~es
P.O. Box 1130
Oshkosh. WI 54903-I130 '
Phone (920) 236-~0~0
Fax (920) 236-50Sn
ELECTRICAL PERMIT APPLICATION
All information after bold calegories must bc provided.
Incomplctc applications will not be processed.
{~001/001
Q/HKO./H
DN THE ~/~'l~lt
Application(s) nnd fee(s) can b~ brought to City Hall, Room 205 or mailed to hspeofion Services, PO Box ! 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which cv~r is greater.
OR
you are a contractor narticipatfn.a in_thc Permit Fe_e~ccount System and have adequate_funds, check her~_
~f vou veant_tbi.~ processed through your account. D
JOB ADDRESS
OWNER
CONTRACTOR
! I
CHECK [] ALL APPLICABLE
USE CATEGORY
I-Iginglc Family [3Duplex
r'IMulti-Family
SERVICE SiNew
[3Change
ErFemporary
I~Not Applicabl~
I'lRental
TYPE
I~Comm~wial ~l~dustxial
EIOverhcad I"lNot Applicable
EIUnderground
FH~L IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts · i Reeel~aeles
Phase
Amps Switches
Circuits #.
Fixtures #
CHECK [] ALL APPLICABLE
[3Range KlDishwasher ElGarbage Disposal
f'3Fnn OR Blowe~ E]Fumace .CldsdC
DMotors [2Gas Pumps ~j0ther _r t'pa/F
~3Dryer I3Wa~r Heater
U1El¢ctric Sign
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)