HomeMy WebLinkAbout0101824-Electric (a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
101-107 CIMARRON CT
B. Q. ELECTRIC SERVICES
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner AM MOKLER PROPERTIES LLC
Category 633- ResidentiaI-Multi-FamilyAddition/Rem
Type I~ Overhead
Circuits 0
Switches 0
No 101824
Create Date 05/23/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of Multi-Family / Install Air Conditioning in units 101, 103, 105 & 107.
Work
Fees: Valuation
Issued By:
$720.00 Plan Approval
$0.00 Permit Fee Paid
$35.00
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/HKO/H
ON TH~ WATER
ELECTRICAL PER IT 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
If },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 []
CHECK [] ALL APPLICABLE
USE CATEGORY
FlSingle Family UlDuplex
[3Multi-Family [3Rental
TYPE
SERVICE [2]New
E3Change
F-1Temporary
' F1Not Applicable
E] Commercial r-qlndustrial
[2]Overhead F1Not Applicable
I-'lUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FlRange FIDishwasher l-lGarbage Disposal
FlFan OK Blower [3Furnace [~C
E3Motors I-IGas Pumps [3Other
. , -__
F1Dryer [3Water Heater
FIElectric Sign
VALUE (Including labor and/~a, te,rials includiDl~lig~lldg~ures) $
MAsTERELECTRICiA///~/~L~ .~ (2~'/~-
3/02
City of Oshkosh
Division of Inspection Services
P:O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THF WATER
ELECTRICAL PERMIT APPLICATION
Ail 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 $1.00.00 plus the
normal permit fee, which ever is greater.
OR
you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
you want this processed through your account []
-!
CHECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family FlDuplex []Multi-Family
SERVICE ElNew [3Temporary
[3Change ' F1Not Applicable
[]Rental
TYPE
UICommercial Ullndustrial
r-lOverhead [3Not Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F1Range
U1Fan OR Blower
[-1Motors
[3Dishwasher
I'-lFurnace
F1Gas Pumps
DESCRIPTION OF ALL WORK BEING DONE
U1Garbage Disposal [3Dryer F1Water Heater
[~ii~A/C ' [3Electric Sign
IZlOther
VALUE (including labor a,~g~/ials inc~d'ng~es)$ I (/~0 ~0~
3/02
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
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 Cie Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Comm6ncing 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_f you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
~f you want this processed through your account []
I OZ C n o cor
I
CHECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family
SERVICE IZINew
UlChange
[]Duplex []Multi-Family
FITemporary
' F1Not Applicable
[]Rental
TYPE
UlCommercial [2Industrial
IZlOverhead IZINot Applicable
FlUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[-1Range FlDishwasher F1Garbage Disposal
[-1Fan OR Blower [-1Furnace ~A/C
[]Motors []Gas Pumps [-1Other
DESCRIPTION OF ALL WORK BEING DONE ~Q-t0~-- ,v - ~p
F1Dryer [-1Water Heater
[:]Electric Sign
VALUE (Including labor and all ~mj~te]~ials includij~ lig~fi~tures) $ L)W.
3/02
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OJ'HKO/H
ON THE: 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 $1.00.00 plus the
normal permit fee, which ever is greater.
OR
if you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
you want this processed through your account []
ow. . 'o.r- Oc.ap, ecq4
CHECK [] ALL APPLICABLE
USE CATEGORY
[-ISingle Family FIDuplex I-1Multi-Family
SERVICE FlNew F1Temporary
[3Change ' IZlNot Applicable
F1Rental
TYPE
I-ICommercial [3Industrial
[3Overhead FINot Applicable
IZlUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
['qRange [3Dishwasher [3Garbage Disposal
[3Fan OR Blower [3Furnace ~rA/C
[3Motors I-1Gas Pumps [3Other
w O=
IZIDryer l-lWater Heater
FIElectric Sign
VALUE(Incli~;;b°cla~Ni,~ia~,ls'~~xtnres)$ j ~O'O0
MASTER EL ~,/],.~.//o_ . ..