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0104370-Electric (emergency lights)
OSHKOSH ON THE WATER Job Address Contractor Service Volts 3300 MEDALIST DR EXCELLENCE ELECTRIC, INC. I~ New (~ Change (~ Temp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner SMET INVESTMENTS LLC Category 653- Industrial-Addition/Remodels Type I~ Overhead Circuits 0 Switches 0 No 104370 Create Date 09/23/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of IND/Add & replace emergency lights thru-out plant. T & M jobs: # 3514, 3598 & 3605. *Job #3509. Work Fees: Valuation Issued By: $13,885.00 Plan Approval $0.00 Permit Fee Paid $192.00 Date 09/24/2003 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 321 E MAIN ST PO BOX 78 LITTLE CHUTE WI 54140 - 78 Telephone Number (920) 687-2442 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 ')shkosh, WI 54903-1130 'hone (920) 236-5050 Fax (920) 236-5084 z z Z©/HKO/H All info~fion after bold categories must be provif;g O~y~/ Incomplete applieafiom will not be processed. Application(s) ~d fee(s) can b~ brought to Ci~ Hall, Room 205 or roiled to hspecfion S~ces, PO Box 1128, Os~osh WI ~490~-1121. 6ommen¢ing work Mthout p~mit(s) ~11 ~sult in f~s b~ing doubled or $100.00 plus nomal p~it f~, whioh ever is ~atCr. 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 y~ur account ~ DATE ~] I~ / ~'~ $oa~ss ~ ~t~ CONTRACTOR ~-C~-.-~---. CFI~CK [] ALL APPLICABLE f-' ~SE CATEGORY ,_3 Single Family l-IDuplex ElMulti-Family SERVICE ElNew [3Change V1Temporary V1Not ApPlicable []Rental F1Commercial Fllndustrial TYPE [3Overhead rqNot Applicable [3Underground FILL IN 'i'H ~; APPROPRIATE BLANK WITH TIt~ NUMBER Volts · / Receptacles # Circuits # Phase Amps Switghes# Fixtures # CHE, CK [] ALL APPLICABLE [3Range rnDishwasher FIFan OR Blower [3Furnace FlMotors []Gas Pumps UIGarbage Disposal [3Dwer V1A]C [3Electxic Sign FlOther DESCRIPTION OF ALL WORK BEING DONE [3Water Heater m': 'AL t'ue'..,ng,a,or a~s 3/02