HomeMy WebLinkAbout0124207-Electric
o
OSHKOSH
ON THE WATER
Job Address 150 LIBBEY AVE
CITY OF OSHKOSH
No
124207
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner TRIANGLE MFG CO INC Create Date 04/13/2007
Category 653 - Industrial-Addition/Remodels Plan
. N/A Type o Overhead o Underground
Circuits Luminaires
Switches 3 Receptacles 8
Contractor TOWN & COUNTRY ELECTRIC
Service
o New
120/208
Volts
Amps
Appliances
Use/Nature of IND / RENOVATE OFFICE, REMOVE/REPLACE FIXTURES, ADD 8 RECEPTACLES
Work
Fees: Valuation
$1,883.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
(rrnL0
Date 04/13/2007
o Permit Voided I
Parcelld # 1519600200
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
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number 920-225-6507
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,VVI54903-1l30
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.
. 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 you are a contractor TJarticipatinf! in the Permit Fee Account System and have adeauate funds. check here
if YOU want this processed through your account D
DATE 1./- J;)- OJ
JOB ADDRESS /5D L;.bb~v ./lV6
I
~ '. J 11 ': -'. '
OWNER I /'ian4-1:> f'nant~ cm::~f)!j
CONTRAcToRF'ait1tlechno~(~ InC '
crI hct n ;' Country E led-pic
CHECK ~ ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Family
o Rental
~ommercial
Dlndustrial
SERVICE DNew
o Change
o Temporary
~ot Applicable
TYPE DOverhead
DUnderground
)8Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
U5-t- [)GIS l{iVbPA(v~,::>
Volts I~O / ;Lory;;
Phase l:
Amps
Switches #
R"
o
Circuits # !/~(;:1j{/J7(A.f.t,
Fixtures # (Jjf rx IS 7/11./"
Receptacles #
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ;Pi NOr/Ai[
HYlVP~f S -fJJ f) f?' Kl' (" 1"P'/3
I"
rJ/qq C L- /
P~'1VW". M-[/'L,,-#cc-
I"
VALUE (Including labor and all materials including light fixtures) $ ~ 38 ,,':)
MASTER ELECTRICIAN j~ A--~~ j
, /
3/02