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OSHKOSH
ON THE WATER
Job Address 3001 S WASHBURN ST
CITY OF OSHKOSH
No
123538
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
FIRST HORIZON GROUP LIMITED PTNSHI Create Date 01/17/2007
Contractor
BUSS ELECTRIC INC
. New 0 Change 0 Temp
120/208
Category 643 - Commercial-Addition/Remodels
Service
ON/A
Type 0 Overhead
Plan
. Underground
Volts
Circuits
Luminaires
Amps
Switches
12
Receptacles
30
Appliances JElectric Sign, Water Heater, Fan or Blower, Motor, AlC
Use/Nature of COMM (C-10) / WIRE TENANT SPACE REMODEL FOR AREOPOSTALE
Work. I
I
I
I
Fees: Valuation $19,000.00
Issued By: ~ lA. )
Plan Approval
$0.00
Permit Fee Paid
$267.00
Date 02116/2007
D Permit Voided I
Parcel Id # 1329420000
.
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 starting such activity.
Signature Date
Agent/Owner
Address
W6166 GREENVILLE DR
GREENVILLE WI 54942 - 9676
Telephone Number 920-757-6501
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.
~
OJI-KOJH
ON THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236 - 5084
Phone (920) 236-5046
FEB 16.2001
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE
JOB ADDRESS 3COl 5 .wc~"bur() St S0'-ceCOIO
OWNER \i e r 0 ?OSt-O; \ e
CONTRACTOR Buss f \ e c~ Wi c....
:)l/l{IOJ
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
~
OVERHEAD
DUPLEX
MULTI-FAMILY
RENTAL
COMMERCIALI
/'
INDUSTRIAL
CHANGE TEMPORARY NOT APPLICABLE
~~OUN..0 NOT APPLICABLE
SWITCHES ,;< RECEPTACLES 30
VOLTS Ic20 / 20'6
CIRCUITS
SERVICE
TYPE
NO. OF FIXTURES
AMPS Ic2or~og
PHASE
~
CHECK ALL APPLICABLE
RANGE
WATER HEATER
\
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWERl
FURNACE
A/C-L
'ELECTRIC SIGN-L MOTORS~ GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE--U) \ e \ €C:~t co.-\ \ 1-")C) ,t
.
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
$ ,96-lc 00 t-L\L
VALUE (Including labor and all materials including light fixtures) $ '~l OeD. 00
MASTER ELECTRICIAN ~ Bi.AL:tJ-