HomeMy WebLinkAbout0103966-ElectricOSHKOSH
ON THE WATER
Job Address 2935 UNIVERSAL CT
Contractor WITZKE ELECTRIC
Service [~) New (~ Change
Volts 120/208
Amps 400
CITY OF OSHKOSH No 403999
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BROS LLC
Category 642- Commercial-New Building Wiring
(~) Temp Type O Overhead
Circuits 0 Fixtures
Switches 0 Receptacles
Create Date 09/02/2003
Plan
O Underground
Appliances
Use/Nature of ['heda Care - New Health Care Facility
Work
Fees: Valuation
Issued By:
$42,000.00
Plan Approval
$0.00
Permit Fee Paid
$276.00
Date 09/05/2003
[] Permit Voided j
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.
SEP. 2.~03 10:0SAM WITZKE ELECTRIC
Ci~ of O~3Z~o~
P.O. ~ox ! 130
Od~:os~ W! 54~03-! ] 30
Phone (~20) 23~-~0S0
Fax (920) 23~-.<084
ELECTRICAL PER IT APPLICATION
A~] ~format~O~ after bold
~comp]em ~lice~o~ ~ not be p~c~sed.
, · Appl/cefion(s) and fee(s) ca~ be brought to CiW Hall, Room 205 or mailed to hspect/on Services, PO Box 1128,
Oshkosh W1 '54903-I 128, C°mn~nclng w°rk w/thout perrn/t(s) W/ll reau]t/n fees be/rig ~loubled or $100.00 plus d~.c
notme! permit fee, w~ch ever is greater. '
OR
CZKECK [~ ALL A2PLICA~tLE
USE CATEGORy
12Single Family C]Dupl~x 12Mulfi-F~mily
SERVICE C)New [~Tc~poraz7
[~Change [::]Not Applicable
C~CK ~ ALL A2PI.ICABLE
~Range ClDishwasher DOarbage Disposal
~Fan OR Blow~- ClFum~ee C~A/C
C]Motot~ C]Gas P~mps ~]Other ~
Circuits#.
VALUE (Includfng labor and all n
MASTER ELECTRICIAN __
FLxtUres #__
DWater Hea~er
C3Electvic Sign