HomeMy WebLinkAbout0104740-Electric (2 telepoles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1300 S KOELLER ST
WITZKE ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SHOPKO STORES INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 1
Switches 0
No 104740
Create Date 10/13/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Provide and install 2 telepoles.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Date 10/13/2003
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 PO BOX 102 155 E PACKER AVE OSHKOSH WI 54903 - 102 Telephone Number
920-235-6572
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.
OCT. B.280~ 3:E2PM
Cit7 of 0~o~
?.0. Box 1130
~ ~ ~4~-21S0
P~ (~20) ~3~50~0
NITZKE ELECTRIC NO.gS~ P.6/6
ELECTRICAL PERMIT APPLICATION
All information alter bom cat~gorics must be provided.
Incomplete applicafiom will not be proce~e~i.
· A
ppl/e~tion(s) a~d fee(s) can be brought to Ct~, Hall, Room 205 or mailed to InSpection Services, ?O Box 1128,
Oshkosh WI '54903-1128. Corrm~en¢ing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, wbioh ever is greater.
OR
r"lRcntel ' CI~ C°~°w-mereial Industrial
TYPE ClOwrhead ~pllca'ole
C1Undergrouncl
IrlLL I:N TI~ APPROPRIATE BLANK WITH
Vol*s / Receptncles # ~ ]
Phase -- - Cir~lls ~-
Amps Swiiches #,
_ Fixtul. es ~,
CHECK 1~ ALL A~PLICABLE
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