HomeMy WebLinkAbout0105343-Electric (power supply)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
191 W 28TH AVE
PIEPER ELECTRIC INC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner HYDRITE CHEMICAL CO
Category 653- Industrial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 105343
Create Date 11/17/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of IND/Install 24 VDC power supply, 2 smoke detectors and power to the release device (installed by others).
Work
Fees: Valuation
Issued By:
$$00.00 Plan Approval $0.00 Permit Fee Paid $35.00
Date 11/17/2003
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 PO BOX 2432 OSHKOSH WI 54903 - 2432 Telephone Number
920-233-3797
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.
10/25/2003
OYHKO./H
23: 4i 9202355222 PIEPER ELECT PAGE
02
ELECTRICAL pERMIT APPLICATION
All in~o~maticn after bold categoris~ must be provided.
Incomplete ap~iica~ion~ will no~ be processed.
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE ~New
~Change
~Duplex ~Multi-Family
~Ter~porary
~Not ApDlicable
~Rental ~Commercial
TYP~ ~0verhead ~Not Applicable
~Under~round
FILL 'IN THE APPROPRIATE BLANK WITH THE ~MBER
Volts / Receptacles # ~ircui=s
Phase
~u~ps Swihches ~ Fixtures
~ndustrial
CHECK ~ ALL APPLICABLE
~Range
~Fan OR Blewer
~Dishwasher
~Furnace
~Gas Pumps
DESCRIPTION OF ALL WORK BEING DON~
~Garbage Disposal ~DRYER ~Water Heater
~A/C [~Elec~ric Sign
· Application(s) and fee(s} can be brought to City Hall, Room 205 or mailed to
Inspection Services, PO BO~ 1128, Oshkosh WI 54903-1128. Commencing work
without, permit(s) will result in fees beim~ doubled or $100.00 plus the normal
permit fee, which ever is greater.
OK
Check here if you want ~his ,FrO~essed ~hr~u~h ,Four a~counr ~
VAL~ (I~=ludi~g labor and all matarla~s inclu~in~ li~ fixtures) $ ~O.~.