HomeMy WebLinkAbout0100885-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2200 BADGER AVE
VAN ERT ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CURWOOD INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 100885
Create Date 04/21/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Curwood/Office remodel building #2, 3rd floor. * VE Job #F15552H
Work
Fees: Valuation
Issued By:
$41,000.00 Plan Approval $0.00 Permit Fee Paid
$273.00
Date 04/21/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
04/21/02
08:32 FA~ 920 766 0883
VAN ERT ELECTRIC
~002/002
City of Oshkosh
Division of lnslc~ction g~rvicus
P.O, Box 1130'
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Iucomplctc applications will not be processed.
QI-KQ H
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fccs being doubled or $100.00 plus
normal permit fce, which ever is greater. . '
OR
' h P rm' ee' ccount $ stem
and ltave ade 'ute und$ cheek h.
OA~. 4/-~1-03
~o~ ~,m~.~ ~o,~,~o . z~,vdEe ,- ,~ ~,~
ow~_ ~~
CHECK [~[ ALL APPLICABLE
USE CATEGORY
VlSingle Family
SERVICE ~New
DChange
ElDuplex. nMulti_Family
ct Applicable
FILL lb/~ APP
Volts · /
Phase
VlRental )~Commercial r-I/ndustrial
TYPE CIOverhead j~'Not Applicable
FIUnderground
tOPR/ATE BLANK V¢ITII THE NUMBER
Receptacles #
Switches #
CIFE. CK ~[ ALL APPLICABLE
Circuits #
Fixtures #
IDRange
E1Fan OR Blower
EIMotors
DESCU~N or,
ClDishwasher CiGarbage Disposal [2Dryer []Water Heater
ClFurnace VIA/c
ENGas Pumps EIOther ClElectric Sign
WORK BEING DONE
~~::~-7-'~,,,. z.z,.... ,~ _~ , ..--, ,.,
VALU~ [In¢ludlug labor an~ all materials laclua|ng light lixtures) !
3/