HomeMy WebLinkAbout0103376 EOSHKOSH
ON THE WATER
.lob Address 1508-1550 S KOELLER ST
Contractor TEAM SERVICES
Service [~ New (~ Change
Volts 120/208
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSHKOSH KOELLER LLC
Category 643- Commercial-Addition/Remodels
Amps 100
~ Temp
No 103376
Create Date 08/07/2003
Plan
Type I~ Overhead ~ Underground I
Circuits 42 Fixtures 34
Switches 10 Receptacles 20
Appliances Electric Sign
Use/Nature of 1524 S Koeller/Install electrical for lights, recps and equipment. Install new 75KVA 480-120/208 transformer and panel. (Interior Demo of this
Work [enant space in preparation for new sandwich shop).
Fees: Valuation
Issued By:
$18,000.00 Plan Approval $0.00 Permit Fee Paid $204.00
Date 08/07/2003
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 2602 AMERICAN DR APPLETON WI 54914 - 9010 Telephone Number
920-738-5885
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.
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.
~ity of Oshkosh
Division 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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lf ¥ou are a contractor participating in the Permit Fee Account SFstem and have adequate funds, check here
if you want this processed through ¥our account []
DATE g'~' "~'~
OWNER ~ [; ~ p ~- S
CONT CTOR G urce
CHECK I~I ALL APPLICABLE
USE CATEGORY
FlSingle Family F-IDuplex I-1Multi-Family
SERVICE F1New F1Temporary
FIChange .l~Not Applicable
[]Rental li~'Commercial Ellndustrial
TYPE F1Overhead ~lNot Applicable
ElUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~/g~ / ~a16/~6~ Receptacles # 2.~
Phase .~
Amps 115~ Switches # [ I~
Circuits
Fixtures
CHECK [Z ALL APPLICABLE
I-IRange E]Dishwasher F1Garbage Disposal FIDryer I-IWater Heater
ElFan OR Blower E]Furnace IZIA/C ~ilElectric Sign
F1Motors l-lGas Pumps [2Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN tc~"~e'Y3t O, ~r~dO~q
3/02