HomeMy WebLinkAbout0102002-Electric (bay receptacles)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 102002
Create Date 06/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of IND/Bay 1 & 2 utility recpt.
Work
Fees: Valuation
Issued By:
$14,082.00
Plan Approval
$0.00 Permit Fee Paid
$195.00
Date 06/05/2003
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 321 E MAIN ST PO BOX 78 LITTLE CHUTE WI 54140 - 78 Telephone Number
(920) 687-2442
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
')shkosh, WI 54903-1130
,'hone (920) 236-5050
Fax (920) 236-5084
JUN 0 4 200J
All inf°~tion after bold categories mus~rovided.
Incomplete applications will not be processed.
O/HKO/H
ON THE WATER
· Application(s) and fee(s) can be brought to City 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
!f you are a contractor participating.:in the Permit Fee ,4ccount System and have adequate funds, check here
(f ¥ou want this processed through yqur account []
JOB ADDRESS S3COO
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
~'lSingle Family nDuplex
OMulti-Family
SERVICE F1New
nChange
nTemporary
ElNot Applicable
nRental
TYPE
nCommercial J~ndustfial
nOverhead ElNot Applicable
nUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts · / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CI-IE, CK ~ ALL APPLICABLE
ORange nDishwasher nGarbage Disposal
nFan OR Blower nFumace nA/C
nMotors ClGas Pumps FIOther
ODryer
nElectric Sign
OWater Heater
f.-..,. ,ZALUE (InclUding labor and al~alS including Cg..h/tytures) $ /~/~--:~'
3/02