HomeMy WebLinkAbout0101823-Electric (a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
111-117 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 101823
Create Date 05/23/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances ~,/C
Use/Nature of Multi-Family / Install Air Conditioning in units 111, 113, 115 & 117.
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 THF 'w'ATER
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
]£ vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
i['vou want thzs processed through your account []
,
!
.!
CHECK [] ALL APPLICABLE
USE CATEGORY
ElSingle Family [2Duplex F1Multi-Family [2Rental
SERVICE FINew F1Temporary TYPE
F1Change ' F1Not Applicable
ElCommercial [2Industrial
F1Overhead I-1Not Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
FiXtures #
CHECK [] ALL APPLICABLE
[-IRange [3Dishwasher [3Garbage Disposal [3Dryer [3Water Heater
[]]Fan OR Blower ElFurnace [~A/'C F1Electric Sign
r-lMotors l-lGas Pumps F1Other
DESCRIPTION OF ALL WORK BEING DONE '
VALU~ (Including labor and/~terials including light fixtures)
MASTERELECTRICIA~//ta~-~ ~ ~,.~.~---~-
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
TNt: 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. 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
if you want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
F-lSingle Family ElDuplex ElMulti-Family
SERVICE FINew F1Temporary
[] Change 'F1Not Applicable
ElRental
TYPE
F1Commercial Ellndustrial
[]Overhead []Not Applicable
[]Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[]Garbage Disposal
I~A/'C
ElOther
ElDryer []Water Heater
ElElectric Sign
ElRange []Dishwasher
F-1Fan OR Blower EIFumace
F1Motors F1Gas Pumps
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and al~j/~aterials including light, f~tures) $ {
MASTER ELECTRICIA .... ~
e°
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-sY 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
if you want this processed through your account []
CHECK [] ALL APPLICABLE
USE CATEGORY
[-ISingle Family CIDuplex E]Multi-Family
SERVICE F1New F1Temporary
[3Change ' V1Not Applicable
U1Rental
TYPE
F1Commercial Ellndustrial
F1Overhead F1Not Applicable
FlUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
FqRange r-lDishwasher UlGarbage Disposal
ElFan OR Blower [3Furnace '~L/C
ElMotors I-1Gas Pumps FIOther
DESCRIPTION OF ALL WORK BEING DONE ~'~ ~/
[3Dryer [3Water Heater
[3Electric Sign
VALUE (Including labor and all_materials including light fi~ures) $ / ~ 0,0C)
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'HKOJ'H
Ot, l T~F 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
{f you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
a =ss 11-3
OWNER .~. _ff~ [t~3~./''
I
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
ZJSingl¢ Family [-3Duplex EJMulti-Family
SERVICE V1New V1Temporary
FlChange ' V1Not Applicable
[2]Rental
TYPE
V1Commercial VllndUstrial
V1Overhead F1Not Applicable
V1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
VIRange F1Dishwasher V1Garbage Disposal
[]Fan OR Blower V1Furnace [~J~2 '
V1Motors F1Gas Pumps f'-fOther
DESCRIPTION OF ALL WORK BEING DONE
V1Dryer FlWater Heater
VlElectric Sign
VALUE (Including labor and all~aj~erials including ljghtf.~tures) $
/ gO,°°
3/02