HomeMy WebLinkAbout0104456 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
305 CEAPE AVE
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WIS PUBLIC SERVICE CORP
Category 655- Industrial-Motor/Control
Type I~ Overhead
Circuits 0
Switches 0
No 104456
Create Date 09/29/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Vlotors
Use/Nature of IND/Wire 1 2HP motor, 1 flow switch and 1 level switch.
Work
Fees: Valuation
Issued By:
$3,310.00 Plan Approval
$0.00 Permit Fee Paid $90.00
Date 09/29/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
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.
09/29/2003 MON 13:15 FAX 920 738 8987 SERVICE ~001/001
City of Oshkosh
Division of lnspcc6on Scrviccs
P.O, Box 1130
Oshkosh, WI 54903.1130
Phone (920) 236-5050
Fax (920) 236-50~
O./ktKO/H
ELECTRICAL PERMIT APPLICATION
All informatfioa after bold categories must bc provided.
Incomplete applications will nol be processed.
Application(s) and tee(s) can be brought to Cily Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 5,i903-1128. Commencing work without permit(s) will result m fees being doubled or $100.00 plus the
normal permit fcc, which ever is grcatcr.
OR
If you,.~,U~..lLeontractor particioatine i 1 .the p~rmit~"ee Account Svste'ne nmi httve e~deuuute h~nds, ctleet here
..... .,,
CHECK lEI ALL APPLICABLE
USE CATEGORY
UlSingle Family FIDuplex I"IMuhi-Family
SERVICE FINew FITemporary
UIChangc [~Not Applicable
E1Rcntal EIConmacmial ~llnclttstrial
TYPE nOvcrhcad Ig[No[ Appli~abk
r]Underground
FILL IN THE APPROPRIATE BLANK ~,VITH THE NUMBER
Volts ~ Receptacles
Y~ase
Amps --. Swl,e,,e~.
Circuits #
FLx:ures ff.
CHECK [~ AIJ. APPLICABLE
VIRange ~Dishwashcr
ElFan OR Blower EIFuma~¢
JglMotor~ []Gas Pumps
~lGarbage Disposal E]Dryer ~Wat~r Heater
F1A/C ElElectdc Sign
DESCRIPTION OF ALL WORK BEING DONE ~,k.\lOI~ . ~ ,,;~-¥~ fY-r',v-k(%e . I
VALUE (Including labor and all materials including light fixtures) $