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HomeMy WebLinkAbout0102184 EOSHKOSH ON THE WATER Job Address Contractor Service Volts 2211 OREGON ST SCHAFER ELECTRIC INC [~ New (~ Change (~ Tamp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner VTM ASSOCIATES LTD PARTNERSHIP Category 643- Commercial-Addition/Remodels Type I~ Overhead Circuits 1 Switches 0 No 102184 Create Date 06/13/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of 2211 B Oregon/Install copier outlet. Work Fees: Valuation Issued By: $175.00 Plan Approval $0.00 Permit Fee Paid $20.00 Date 06/13/2003 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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number (920) 725-2031 M 585-31 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. ©_/HKO_/'H ON THF 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 ou are a contractor artici atin in the Permi~ee Account S stem and have ade uate unds check here ou want this rocessed throu h our account JOB ADDRESS / CHECK [] ALL APPLICABLE USE CATEGORY []Single Family IZlDuplex SERVICE V1New V1Change F'lMulti-Family a_f?~,orary · ldNot Applicable F1Rental TYPE RECEIVED JUN ? ~ ~ DEPARTMENT OF ' COlYg, llJlVlTy DE~/ELOPM£NT · 12~ommercial Dlndustrial I-IOverhead ~ot Applicable IZIUnderground FILL IN T~ APPROPRIATE BLANK V~ITH THE NUMBER Volts / Receptacles # Phase Amps- Switch es # ., / Circuits # /t Fixtures # CHECK [] ALL APPLICABLE F'lRange UlDishwasher FlGarbage Disposal 12Fan OR Blower U1Fumace IZIA/C [ZlMotors F1Gas Pumps IZIOther DESCRIPTION OF ALL WORK BEING DONE FIDryer FIWater Heater IZlElectric Sign VALUE (Including labor and all materials inCluding l~ht fixtures) $ 3/02