HomeMy WebLinkAbout0101825-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
4000 STATE ROAD 91
B. Q. ELECTRIC SERVICES
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CLOUD CITY LIMITED PARTNERSHIP
Category 653- Industrial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 101825
Create Date 05/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of IND/Wiring for building addition.
Work
Fees: Valuation
Issued By:
$33,000.00
Plan Approval
$0.00 Permit Fee Paid
$249.00
Date 05/29/2003
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 2930 CONGER CT, PO BOX 346 OSHKOSH WI 54903 - 346 Telephone Number
(920) 233-9005
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKOZH
ON THF WATER
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 Cit') 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 $1.00.00 plus the
normal permit fee, which ever is greater.
OR
J£ ¥ou are a contractor participating in the Permit Fee Account Sv.stem and have adequate £unds~ check here
v. ou want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
[3Single Family ElDuplex [3Multi-Family
SERVICE [3New [3Temporary
[3Change ' [3Not Applicable
r-IRental
TYPE
IDCommercial [~Industrial
F1Overhead [3Not Applicable
[3Underground
FILL IN TI-llg APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FlRange
F1Fan OR Blower
l-IMotors
[3Dishwasher
ElFurnace
E]Gas Pumps
DESCRIPTION OF ALL WORK BEING DONE
F1Garbage Disposal [3Dryer [3Water Heater
[]A/C' Fl,Electric Sign
VALUE (Including labor an~irials in~cl~t~lg light fixture,)$ ~ i~,.-~r'). O0