HomeMy WebLinkAbout0104084-Electric (parking lot lights)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
145 N EAGLE ST
VAN ERT ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SIMEANNA SOUTH INC
Category 643 - Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 104084
Create Date 09/10/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Re-feed existing parking lot pole lights. *Job #F1558AT.
Work
Fees: Valuation
Issued By:
$4,800.00 Plan Approval
$0.00 Permit Fee Paid $105.00
Date 09/10/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
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.
09/0§/02
920 ;66 0~83
VAN ERT ELECTRIC
{~002
C~ty o~'O~hkosh
D~v~sfon of l,,~p~c~ioa Services
P.O. Box ! 130
Oshkosh, Wl $4903-1
ELECTRICAL PERMIT APPLICATION
Al1 i~formation after bold c~tegories must be provided.
Incomplete applications will nOt be processed.
OJ'I--KO/H
· Application(s) and fee(s) can be brough! to City Hall, Room 205 or mailed to Inspection SetMces, PO Box 1128,
Oshkosh WI $4903-I 128. Commonoing work without permit(s) will result in teas being doubled or $100.00 plus '
normal permit f=¢, which eva- is greater.
OR
l£ vou are a coatractor t~articlvating in the permit l~ee .4e¢ount SYstem and/aye adequate funds, cheek h.
if you want this vroce~s~d throu~lt your accqpnt ~
CltECK [~ ALL APPLICABLE
USE CATEGORY
E1gingle Family [3Duplex [3Multi-Family
rlChange ~Not Applicable
CIRental ~Commcrcial CI~dustrial
T'~PE r'lOved~ead )0Not Applicable
r'~unde~,round
FILL IN i-~e s: APPROPRIATi~ BLANK WITH 'rRE NUMI~R
Volts - I Reeeptseles ii__ Circuits
Passe
Amps.. SwiteI~es # lFJxtures
CflECK I~ ALL APPLICABLR
ClRange ClDishwasher ClGarbag~ Disposal ClDry~ r'tWat~r Heater
[3Fan OR Blower ClFumace EIA/C lllEl~cuic
EIMotors ~Gas Pumps ~Othcr ,.~.