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HomeMy WebLinkAbout0104670-Electric (#304 fire damage)OSHKOSH ON THE WATER Job Address Contractor Service Volts 100 COURT ST SCHAFER ELECTRIC INC [~ New (~ Change (~ Temp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner OSHKOSH HOUSING AUTHORITY Category 643- Commercial-Addition/Remodels Type I~ Overhead Circuits 0 Switches 8 No 104670 Create Date 10/08/2003 Plan ~ Underground Fixtures Receptacles 5 18 Appliances Use/Nature of Unit 304/Replace services and fixtures, due to smoke damage. Work Fees: Valuation Issued By: $825.00 Plan Approval $0.00 Permit Fee Paid $0.00 Date 10/08/2003 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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number 920-725-2031 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 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 O/HKO/H ON THF W,~TER ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. · 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) wili result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR I£¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here if ~ou want this processed through your account [] DATE ,D SS. /o o . 3o v JOB CH EcK [] ALL APPLICABLE USE CATEGORY [:lSingle Family nDuplex ,~ulti-Family SERVICE [3New [3Change [3Temporary Applicable F1Rental []Commercial r-llndustrial TYPE DOverhead ,[3-~ot Applicable 12Underground FILL IN TH ~: APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # /~ Phase Amps ~ Switches # ~f/ Circuits Fixtures CHECK [] ALL APPLICABLE FIRange mDishwasher mGarbage Disposal F1Dryer [3Fan OR Blower []Furnace [3A/C F1Electric Sign [ZIMotors VIGas Pumps F1Other l-lWater Heater DESCanmON OF =~ wow raNG DONE x.~ .¢...~. ~.. "' VALUE (Including labor and all materials including light fixtures) 3/o2