HomeMy WebLinkAbout2003-Electric (Paper storage room)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 2750 & 2880 VINLAND ST Owner NEVAMAR COMPANY LLC Create Date 03/25/2003
Contractor SUBURBAN ELECTRIC INC Category 653- Industrial-Addition/Remodels Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 8 Fixtures
Switches 4 Receptacles
Amps 0
No 100473
Appliances
Use/Nature of IND/ 2750/ Construction of paper storage room in existing building. *A SEPARATE ELECTRICAL PERMIT IS REQUIRED FOR THE
Work OWNER SUPPLIED FIXTURE(S).
Fees: Valuation
Issued By:
$9,000.00 Plan Approval $0.00 Permit Fee Paid $185.00
Date 03/27/2003
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 709 HICKORY FARM LN APPLETON WI 54915 - 0 Telephone Number
(920) 739-5156
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050 ~
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THF WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, 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
[f ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check her~
if you want this t)rocessed through your account []
JOB ADDRESS
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
I"lSingle Family I'-IDuplex I-1Multi-Family F1Rental [-ICommercial l~Sllndustrial
SERVICE VINew I-ITemporary TYPE V1Overhead F1Not Applicabl%~
[3Change [~lqot Applicable [3Underground
FILL IN THE APPROPRIATE BLANK WITH TFFE NUMBER
Volt,e___ ____~/~ ReceptaCles#_
Phas ~ ~
Amps- Switches #
CHECK [] ALL APPLICABLE ~/~ ~)r~:
FlRange FIDishwasher . ~'V'~l-lGarb~'~e D[ffposa~*-~ x3 °'~ FIDryer FIWater Heater
F1Fan OR Blower F1Fumace [~/C FIElectrie Sign
F1Motors F1Gas Pumps ElOther
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and 11 mTials incl .