HomeMy WebLinkAbout0092461-Electric (code corrections) I CITY OF OSHKOSH No92461
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1200 S KOELLER ST Owner THE COPPS CORPORATION Create Date 01/31/2002
Contractor GIRAFFE ELECTRIC II INC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Appliances
i
Use /Nature of COMM/ Correction of all code violations.
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: VA Date 01/31/2002
0 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 8123 W GREENFIELD AVE WEST ALLIS WI 53214 - 0 Telephone Number 414 - 774 -6040
Jr a 30 02 10:23a Code Enforcement 920 - 236 -5084 p.l
Division of Inspection Services
SO '
(;;-1-1:;:) 215 5 Church Avenue
P.O. Box 1130 N'
2
Oshkosh, WI 5 4903 -1130
` /�102
Fax (920) 236-5084
::ZEECJE Phone (920) 236 -5046 CK� ( ��
ON I Wn FR V�
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 1 1 )v2
J �W J ✓
JOB ADDRESS �lp l t /
OWNER 1d ' alh. Alli• S i _a
CONTRACTOR C �� �� y
CHECK ® ALL APPLICABLE
USE CATEGORY
OSingle Family ODu lex ❑Multi -Family p y ORental Commercial
OIndustrial
SERVICE ❑New ❑Temporary
TYPE ❑Overhead ONot Applicable
❑Change ❑Not Applicable
Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase Circuits ##
Amps Switches #
Fixtures #
CHECK L1 ALL APPLICABLE
:Range :Dishwasher :Garbage Disposal :DRYER :Water Heater
:Fan OR Blower O Furnace OA /C
❑Motoxs ❑ Electric Sign
OGas Pumps :Other
DESCRIPTION OF ALL WORK BEING DONE
0431 Ui Or A1( Coc v)01 TJONS.
• Application(s) and tee(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
Check here if you want this processed through your account
VALUE (Including labor + rte ) ��
abor and all materials including light fixtures) $ c ��`
r
iAS:ER ELECTRICIAN