HomeMy WebLinkAbout0104181 EOSHKOSH
ON THE WATER
Job Address 523 N MAIN ST
Contractor TOWN & COUNTRY ELECTRIC
Service ~ New · Change
Volts 208/240
Amps 100
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
(~) Temp
Owner
Category
BRIAN/KAREN FRISCH
644 - Commercial-Service Change
Type ~) Overhead
Circuits 0
Switches 0
No104181
Create Date 09/15/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of ;OMM/Change service in renovated building.
Work
Fees: Valuation
Issued By:
$1,100.00 Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 09/15/2003
[] 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 app]icet[on 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 236-5'128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified othenvise, 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- I 130
Phone (920) 236-5050
Fax (920) 236-5084
'~-- SEP I 5 200~
DEMRT ENT OF O/HKO/H
PERMi~~OPMENT °~~ ~
ELECTRICAL
~11 ~fo~fio~ afte~ bold catcsodcs ~ust bo p~ov~dcd.
I~complcte a~pl~c~o~ ~11 not bo ~mc~ssed.
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) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatinf, in the Permit Fee Account System and have adequate funds, check her~
if you want this processed through your account []
CItECK 1~ ALL APPLICABLE
USE CATEGORY
[]Single Family [Duplex [Multi~Family
SERVICE_~New []Temporary
~EgChange mNot Applicable
[Rental ~C°mmercial [Industrial
TYPE nOverhead F1Not Applicable
~-Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~)(~ / ~'~) Receptacles # ~,/ff,--)
Phase ~,t~,?
A~ps \',)l) o Swltehes~
Circuits#
CHECK [] ALL APPLICABLE
IZIRange F1Dishwasher [Garbage Disposal
mFan OR Blower [3Furnace [2A/C
[]Motors [Gas Pumps []']Other
U1Dryer [~Water Heater
nEIectric Sig~
VALUE (In¢luding labor and all materials inelUding light fixtures) $ /£ / OO ,00