HomeMy WebLinkAbout0104178-Electric (upgrade service)OSHKOSH
ON THE WATER
,Job Address 515 N MAIN ST
Contractor TOWN & COUNTRY ELECTRIC
Service ~ New 0 Change
Volts 208/240
Amps 400
CITY OF OSHKOSH
ELECTRIC PERMIT-APPLICATION AND RECORD
Owner DENVORD G SMITH/R R KRIEWALDT
Category 644 - Commercial-Service Change
O Temp ] Type _(~ Overhead
Circuits 0
Switches 0
No t04'178
Create Date 09/15/2003
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Nature of 3OMM/Change service in renovated building.
Work
Fees: Valuation
Issued By:
$2,200.00 Plan Approval
$0.00 Permit Fee Paid
$75.00
Date 09/15/2003
[] Permit Voided I
In the performance of this work ~ 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 par[y, if you pefiorm 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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED,
SEP '1 5 200J
COMMuNt' DEVELOPMENTO
ELECTRICAL PERMIT APPLICATION
All infomtion after bold categories must be provided,
Incomplete applications will not bc processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspect/on Services, PO Box 1128,
Oshkosh WI 54903-112K Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check her.
if Foz! want this processed through your account []
C~CK ~ ALL ~PLIC~LE
USE CATEGORY
[2Single Family [qDuplex rqMulti-Family
SERVICE [New [Temporary
Change [Not Applicable
[2Rental ~Commercial [~lndustr/al
TYPE []Overhead []Not Applicable
~[Underground
FILL IN THE APPROPRIATE BLANK ~VITH THE NUMBER
Volts ~b~% / ~)~% Receptacles #
Phase
Amps Switches #
Circuits#
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher r-lGarbage Disposal
[Fan OR Blower [Fumace FIA/C
F1Motors F1Gas Pumps I-1Other
F1Dryer
F1Electric Sign
[]Water Heater
DESCRIPTION OF ALL WORK BEING DONE ~)P'~'%
VALUE (Including labor and all materials including light fixtures) $ c~/~00,0~
MASTER E LE CTRI CIAN/~-~-'/,~f-- - ~/