HomeMy WebLinkAbout0105154 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1620 W 20TH AVE
VAN ERT ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FIRST WlSC NATL BANK OSH
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 105154
Create Date 11/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of BANK/Run power to signs. *Job #F1558BC.
Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval
$0.00 Permit Fee Paid $60.00
Date 11/05/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
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.
10/~1/02 14:11 FAX 920 765 0583 __ VAN ERT ELECTRIC
City of Oshkosh 7 ~
Division of l~-'p~¢~ion Services
Os~os~ WI ~4~3-1130 ~
Pbone (920) 2~6-5050
O/HKO H
ELECTRICAL PERMIT APPLICATION
All i~orrration after bold ca~gorics must be provided.
Incomplete applications '~ll not bt
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to l~cction S~'vices, PO Box 1128,
Oshl~osh Wl 54903-1128. Commencing work without p~nnit(s) will r~ult in I['e~ being doubled or $100.00 plus '
normal p=mit fee, which ever is groat~r.
OR
lf y~u are a contr~tor~articipating ia the Permi~e~ dc¢ount Swtem and hav~ adequat~ fund~, cheek h,
co .,cro _ OA/q CaT
cI~CK ~ ALL APPLICABLE
USE CATEGORY
D$ingle Family C1Duplex
['~MUlti-Family
SERVICE EINcw
ElChange
~rempora~y
[~lNot Applicable
CIP..ental CICommercial Ulndustrial
TYPE ElOverhead [~Not Applicable
FlUndcrgrouad
Fri.L !~ T~l: APPROPRIATE BLINK WITH Till[ ~ER
Volts · , I Receptacles # Cirtuits ~.
Phase
Amps Switehes# Fixtures #
cm~CK I~1 .t~.L APPLICABLE
r'lp, aag¢ ClDishwasher ClGarba~e Disposal
ClFan OR Blower EIFumace ClA/C
ElMotors l-IGas Pumps ClOthcr
~]Dr~r ElWater Heater
mElech'ic Sign
VALUE (Including labor and 211 materials including light fixtures)