HomeMy WebLinkAbout0104177-Electric (power poles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
215 S EAGLE ST
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner U S A
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 104177
Create Date 09/15/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Hook up power poles for new training lab in admin, office. Existing power.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 09/15/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
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 Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 t30
Phone (920) 2315-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
Ail information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1£¥ou are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
if you Want this processed through your account []
DATE
JOB ADDRESS
OWNER
CONTRACTOR 'F~i'Lt-jq Tec_~nolo~ ie,g,
CHECK ~ ALL APPLICABLE
USE CATEGORY
F1Single Family IZIDuplex
F1Multi-Family
V1Temporary
SERVICE F1New - ~ ot
[2change
Applicable
r']Rental ~Commercial [3Industrial
TYPE F1Overhead ~Not Applicable
EIUnderground
FILL IN TIlE APPROPRIATE BLANK WITH THE NUMBER
Volts · / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CH ~:CK [] ALL APPLICABLE
FIRange
iDFan OR Blower
UIMotors
DESC~RIPTION OF ALL WORK BEING DONE
nDishwasher U1Garbage Disposal FIDryer
[2Furnace EIAJC ~El,ectric Sign
t-lGasPumps ~Other _Fbeee_ Pales (2)
Hool~ up [:::o .~ e__ poles'
in adm,n o~cice,
I-IWater Heater
yALUE (Including labor and all materials including light fixtures) $ ,_~ CC>, O0
MASTER ELECTRICIAN ~JUt[-~ I~[._. ~1~..0_~.~ }O,~. //~-~
3/02