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HomeMy WebLinkAbout0102684 EOSHKOSH ON THE WATER Job Address Contractor Service Volts 2750 UNIVERSAL ST WES TOMASEK ELECTRIC [~ New ~ Change ~ Temp Amps 0 CITY OF OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD Owner THOMAS N RUSCH/RICHARD GABERT Category 653- Industrial-Addition/Remodels Type I~ Overhead Circuits 0 Switches 0 No 102684 Create Date 07/08/2003 Plan ~ Underground Fixtures Receptacles Appliances Use/Nature of IND/Wiring air compressor. Adding 4 ceiling lights, 2 recps and 3 hoists. Work Fees: Valuation Issued By: $650.00 Plan Approval $0.00 Permit Fee Paid $30.00 Date 07/08/2003 Permit Voided In the performance of this work I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 5224 GINNOW RD OMRO WI 54963 - 0 Telephone Number 582-4178 OSHKOSH ON THE WATER Job Address 2750 UNIVERSAL ST Contractor Service Volts Amps WES TOMASEK ELECTRIC ~) New C~ Change CITY OF OSHKOSH No 102684 ELECTRIC PERMIT -APPLICATION AND RECORD Owner THOMAS N RUSCH/RICHARD GABERT Category 653- Industrial-Addition/Remodels (~) Temp Type ~) Overhead Circuits 0 Fixtures Switches 0 Receptacles Create Date 07/08/2003 Plan (~) Underground Appliances Use/Nature of ND/Wiring air compressor. Adding 4 ceiling lights, 2 recps and 3 hoists. Work $651~0¢' PI.J.I.I.I.I.I.I.I.~A~ pproval ~ Permit Fee Paid $30.00 Fees: Valuation //~ , IssuedBy: ~h~ //AJ.~ ~~~ ~ Permit Voided J In the pedormance of this work I~to pedorm a~l ~r~muant to roles governing the described ~nstru~ion. Signature X__/~1~~~ ,ate / ~ ~en~O~er Date 07/08/2003 Address 5224 GINNOW RD OMRO WI 54963 - 0 Telephone Number 582-4178 City of Oshkosh Divisi°n of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O/HKO/H · 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 pemdt(s) will result in fees being doubled or $100.00 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, cheek here if you want this processed through your account [] OAT CBECK [] ALL APPLICABLE USE CATEGORY v1Single Family [=]Duplex [3Multi-Family [3Rental ~ommercial Vllndustrial SERVICE VINew [3Change ElTempomry FINot Applicable TYPE V1Overhead [2Underground F1Not Applicable FILL IN THE APPROPRIATE BLANK WITH THE, NUMBER Volts / Receptacles # Circuits # Phase Amps Switches # Fixtures # CHECK [] ALL APPLICABLE F1Range [3Dishwasher [2Garbage Disposal V1Fan OR Blower F1Furnace r'IAJC t~'Motors [] Gas Pumps [] Other DESCRIPTION OF ALL WORK BEING DONE V1Dryer [3Electric Sign F1WaterHeater VALUE (Including labor and all materials inclg~ling lighj.fix, tures) $ ~ ~;~ ~ ~) 3/02