HomeMy WebLinkAbout0122753-Electric
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OSHKOSH
ON THE WATER
Job Address 223 N MAIN ST
CITY OF OSHKOSH
No
122753
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
REDEVELOPMENT ASSOCIATES OF OS HI Create Date 12/01/2006
Contractor
T RUCK ELECTRIC INC
Category 643 - Commercial-Addition/Remodels
Volts
Circuits
Type 0 Overhead
2
Plan
o Underground
Service
o New
o Change 0 Temp
. N/A
Luminaires
Amps
Switches
Receptacles
Appliances iElectric sign
Use/Nature of vOMM/lnstall wiring for the front sign
Work
Fees: Valuation
$500.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 12/01/2006
o Permit Voided I
Parcelld # 0100130000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 startirig such activity.
Signature Date
Agent/Owner
Address
690 W 3 RDAVE
OSHKOSH
WI 54902 - 0
Telephone Number (920) 233-7191
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.
of Oshkosh
('\Division of Inspection Services
. P.O. Box l130
Oshkosh, \'1I 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.
<ii' Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh \VI 54,903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal penllit fee, which ever is greater.
OR
L( -'-0:.1 are a con/raetor !iarti"i atincT in the Permit Fee ACCount Svstem and have ode
ii' 1'011 want this urocessed throlu:;h vour account 0
check
JOB ADDRESS ~_ 2'2 S 0. fY}1t-/~ "';:;J-
O\VNER.;f(1ilOOrd- f.(;() U-S~~I~<1
CONTRACTOR --r: LJ?L ,(" K '1?'G < ~, r I ~Q.._
DA TEDj?T2.; / I
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CHECK 521 ALL APPLICABLE
F\
r ~TSE CATEGORY
OSingle Fa111ily
ODuplex
DMuJti-Family
ORental
Dlndustrial
SERVICE ONew
o Change
DT emporary
911;t Applicable
TYPE DOverhead
DUnderground
E!J:1'ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
~.
Switehes #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
OFan OR Blower DFurnace DAle
i iII/Totors DGas Pumps OOther
DESCRIPTION OF ALL WORK BEING DONE -f~;(f111 /
-:pKJiJ~ Bi9J ,
o Dry.er DWater Heater
~ectric Sign
\...0 '~':"'5 .
e'fll u\~ ~~ ~~
r-
. ALDE (Including labor and alll?atf '~- a S including Iigllj fi
Y\lASTER ELECTRICIAN J
/
lITO 4
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