HomeMy WebLinkAbout0123835-Electric (build out)
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OSHKOSH
ON THE WATER
Job Address 140-150 N KOELLER 51
Contractor BRAUN ELECTRICAL SOLUTIONS INC
CITY OF OSHKOSH
No
123835
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner 150 N KOELLER ST LLC Create Date 03/16/2007
Category 643 - Commercial-Addition/Remodels Plan
. N/A Type o Overhead o Underground
Circuits 15 Luminaires 30
Switches 15 Receptacles 19
Service
p New 0 Change 0 Temp
120/203
200
Volts
Amps
Appliances
ater Heater, Electric Sign
Use/Nature of 'ICOMM (140) / WIRE BUILD OUT OF SPACE FOR OFFICES AND BATHROOMS .
Work
I
I
~..:'-3::.)':;': '."
Vi},. c-,
Fees: Valuation
C
Issued By: 6YY\\.J
$9,650.00
Plan Approval
$0.00
Permit Fee Paid $213.00
Date 03/16/2007
D Permit Voided I
Parcelld # 0611520300
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 secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
255 LAKE POINTE DR
Oshkosh
WI 54904 - 0
Telephone Number 920-303-0032
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
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 pennit fee, which ever is greater.
OR
[(vou are a contractor DarticiDatin!! in the Permit Fee Account System and have adeouate funds. check here
ifvou want this Drocessed throu!!h vou~ account D. ,
JOBADDRESS ,ILia AJ, f-oelk/ ;!//e
OWNER ,E,/i+<<pr;se Re,^- T -:-.A - C~.r
CONTRACTOR B, a..-u..<A- L Iec..Tr ~ <.
DATE 3 - /~- {)/f
CHECK er ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex
OMulti-Family
ORental ()fCommercial OIndustrial
TYPE DOverhead ONot Applicable
OUnderground
.SERVICE ONew OTemporary
OChange ' ~ot Applicable
FIT..L IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts i '20
:phase .:3
~mps 200
I 2..<> 'J
Receptacles #
i9
/f
Circuits #
/s-
30
Switches #
Fixtures #
CHECK er ALL APPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
DFurnace
OGas Pumps
OGarbage Disposal
ONC
DOther
(3 CA.~ /1- Oc-L T
ODryer trW ater Heater
EtEtectric Sign
DESCRIPTIOThALL WORK BEING pONE
-?:if C>. ..'~ $" / ~ 'fttro c ~
. ( . .
D ..() S/4ce
II
.' VALUE (Including labor and all materials including light fixtures) $ 7'0f"D ",06,
MAsTERELECTRIC~6~
3/02