HomeMy WebLinkAbout0104870-Electric (receptacles)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1130 N WESTFIELD ST
SLIM'S ELECTRIC, INC.
I~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 104870
Create Date 10/20/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Add recps in the main manor to the terrace & creekview wings.
Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval $0.00 Permit Fee Paid $45.00
Date 10/20/2003
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 2608 OAKWOOD CIR OSHKOSH WI 54904 - 8466 Telephone Number
(920) 426-5249
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.
P.O. Box 1130
Oshko~, WI .54903-1130
Phou= (~20) 23~-J050
Fax (920) 236-5084
i ECEiVED
Incompleleap~licatio~willfi~Vet~ I OP
'~O~UN;TY DEVELOP~IENT
· Application(s) and fcc(s) can be brought to City Hall, Room 205 or mailed to Inspe~on Service, PO B~ 1128,
Oshkush WI '54903-1128. Comrn~ncing work without permit(s) will result in ~ ~ doubled or $100.00 plus the
nonml permit f~, which ever is grater.
OR
lf ¥ou are a ¢ontractor oarticioatin~ in the Permit Fee ,4c¢ount $~stem and ha~e adeouate funds, check here
if you waut this orocesxed throutth your account f~
OATE. 10/14/03
JOB ADDRESS 1130 N. Westfield.
ovc~R Evergreen Ret. Comm.
CO~P.~CTOR Slim's Electric !,nc.
~R~ntal
Cld~CK ltl ALL APPLICABLE
USE CAT. E(~ORY
EtSingle P~ily ~plex
OTemporary
ONot Applicable
TYPE C3Ovezhe~l [~lNot Appli~tble
OUnderground
FILL IN 'X'.t:i~ APPROPRIATE BLANK Wi'l'lt ~ NUMBER
Volts I Reeeptaeles# Circuits #
Am.ns Switches # .... Fiz~Fes ~
r'll~n~ nDishwasher OGarbagc Disposal ODryer I-IWater Heater
{~]Fau OR Blowe~ F1Fum~e OA/C rlElectric
V1Motors OCras Pumps OOthor
DESCRIPTION OF ALL WORK BEI~C~ DONE Add rec's in building.
VALU~ (Ind'g Itabor and a~/~t~t~ ln///~ r~.~'00
3/02