HomeMy WebLinkAbout0123627-Electric (remodel)
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OSHKOSH
ON THE WATER
Job Address 211 HIGH AVE
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
123627
Owner
NORMAN R BOCK
Create Date 02/27/2007
Contractor
BULLSEYE ELECTRIC INC
Category 643 - Commercial-Addition/Remodels
Plan
Service
b New
o Change 0 Temp
. N/A
Type () Ovemead
() Underground
Volts
Circuits
Luminaires
12
Amps
Switches
Receptacles
4
Appliances
Use/Nature of COMM/ Remodel tenant space.
Work
Fees: Valuation
$1,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$60.00
Issued By:
Date 02/27/2007
o Permit Voided I
Parcelld # 0101410000
In the performance of this work I agree to perform all work pursuant to rules governing 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 sec~ny ne sary provals before starting such activity.
Signature ~ Date 2)- C)?-o9
Agent/Owner
Address
2547 NEKIMI AVE
OSHKOSH
WI 54902 - 8855
Telephone Number (920) 420~2400
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.
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City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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ON THF WATFR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. 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
If vou are a contractor participatinf! in the Permit Fee Account System and have adequate funds, check here
if you want this vrocessed through your account 0
DATE .;) 'd~.C>?
JOB ADDRESS ~/ / #=zc;;: # t!lc/~ .
OWNER ~ ~~ ~C:::;;Q:S
CONTRACTOR &~S<:!'</tS' ~C7;P.:&~
CHECK ~ ALL APPLICABLE
USE CATEGORY
DSingle Family o Duplex
DMulti-Family
DRental
..QCommercial
o Industrial
SERVICE DNew
DChange
DTemporary
PNot Applicable
TYPE DOverhead .JaNot Applicable
o Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
/
Receptacles #
<./
Circuits #
Switches #
Fixtures # /.:2
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIP'HQNQF-ALLWORKBEINGDONE ~~~ ~.t-A..iW" ~~.
!!!?
VALUE (Including lobor ODd oII...~lncludlng _lIxtu=) $ __.
MASTER ELECTRICIAN ~ ~
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