HomeMy WebLinkAbout2003-ElectricOSHKOSH
ON THE WATER
.lob Address 1175 S WASHBURN ST
Contractor TRI COUNTY ELECTRIC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MICHAEL L STRATZ
Category 643- Commercial-Addition/Remodels
Amps 100
~) Temp
Type I~ Overhead
Circuits 8
Switches 5
No 100904
Create Date 04/22/2003
Plan
~ Underground
Fixtures
Receptacles
10
15
Appliances
Use/Nature of Commercial/Domino's / Remodel to Domino's specs.
Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval
$0.00 Permit Fee Paid
$75.00
Date 04/22/2003
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 PO BOX 693 Menasha WI 54952 - 0 Telephone Number
920-727-9724
OSHKOSH
ON THE WATER
,Job Address 1175 S WASHBURN ST
Contractor TRI COUNTY ELECTRIC
Service ~) New O Change
Volts 120 / 240
CITY OF OSHKOSH
Am ps 100
ELECTRIC PERMIT -APPLICATION AND RECORD
~ Temp
Owner
Category
MICHAEL L STRATZ
643 - Commercial-Addition/Remodels
Type ~_ Overhead
Circuits 8
Switches 5
No 100904
Create Date 04~22/2003
Plan
Q Underground
Fixtures 10
Receptacles 15
Appliances
Use/Nature of Commercial/Domino's / Remodel to Domino's specs.
Work
Fees: Valuation
Issued By: .~
$2,500.00 Plan Approval
$0.00 Permit Fee Paid $75.00
Date 04122/2003
[] Permit Voided
In the performanc¢~ this work, agree to perform all work pursuant to rules governing the described construction.
Signature ~ ./'/~ ) ~2-.,',~ ~,~,,..¢..,~.-~..,_,~ Date
Agent/Owner
Address PO BOX 693 Menasha WI 54952 - 0 Telephone Number
920-727-9724
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkesh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O_/HKO./H
ON THE \~/ATER
ELECTRICAL PERMIT APPLICATION
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 54903-1128. Commencing work without permit(s) will result m fees being doubled or $100.00 plus the
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 here
if you want this processed through your account []
DATE ~.-22-0 ~
JO AI,. SS
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[3Single Family F1Duplex I-1Multi-Family I-'lRental
SERVICE FINew FITemporary TYPE
l-IChange .~8[Not Applicable
~Commercial [2]Industrial
[:]Overhead [~Not Applicable
FIUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts }2c0 / ,~ ~ 0 Receptacles #
Phase /
Amps /tTO Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
VIRange [3Dishwasher F1Garbage Disposal
VIFan OR Blower [3Furnace EIA/C
[3Motors F1Gas Pumps [3Other
g} X/
fi~'Dryer FIWater Heater
,[~lElectric Sign
VALUE (Including labor and all materials including light fixtures) $
~S~oo ~
3/02