HomeMy WebLinkAbout0104145-Electric (tenant alterations)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
2303 JACKSON ST
TRI COUNTY ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner GARY R GARBE
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 15
Switches 6
No 104145
Create Date 08/27/2003
Plan
~ Underground
Fixtures
Receptacles
0
15
Appliances
Use/Nature of COMM/Remodel store to Dominoe's specifications.
Work
Fees: Valuation
Issued By:
$4,500.00 Plan Approval
$0.00 Permit Fee Paid $105.00
Date 09/12/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 693 Menasha WI 54952 - 0 Telephone Number
920-727-9724
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Impection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~, D[PA~TMENT OF
ELECTRICAL
All information after bold categories must be provided.
Incomplete applications will not be processed.
SEP 0 ~ 2003
O/HKO/H
u 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
lfi¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
.'O,'ADD S 2 5a'50, '&&,0"
CHECK [] ALL APPLICABLE
USE CATEGORY
E1Single Family EIDUplex ElMulti'Family DRehtal ~commercial Fllndustrial
SERVICE FINew [3Temporary TYPE r-lOverhead ]~Not Applicable
FIChange ~INot Applicable [3Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
[3Range [3Dishwasher [3Garbage Disposal
I-IFan OR Blower [3Furnace [3A/C
I-1Motors F1Gas Pumps ElOther
DESC PTION OEALL WO B INGDON
[3Dryer
[3Electric Sign
UIWater Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN %~ Lt~{~x&,~ ~2q~ 0.>'7
3/02