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