HomeMy WebLinkAbout0124210-Electric (interior alterations)
o
OSHKOSH
ON THE WATER
Job Address 1003 N MAIN ST
CITY OF OSHKOSH
No
124210
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner CHARLES J/GERALD BINNERlJANA FRAN Create Date 04/02/2007
Category 643 - Commercial-Addition/Remodels Plan
. N/A Type o Overhead o Underground
Circuits 4 Luminaires 4
Switches 4 Receptacles 6
Contractor DREXLER ELECTRIC
Volts 120/240
Amps 20
Appliances Fan or Blower, Water Heater
Use/Nature of pOMM I Interior alterations to create new accessible restroom as per floor plan, install new wood paneling in Retail Area, and Dairy
Work board in Processing area. No Structural Alterations.
Fees: Valuation $1,200.00
Issued By: ~W
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 04/13/2007
o Permit Voided I
Parcel Id # 1006700000
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
490 COUNTY ROAD FF
PICKETT
WI 54964 - 9513
Telephone Number 920-589-6700
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
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
(I)
OJHKOJH
ON THE WATER
· App1ication(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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I au are a contractor artici atin in the Permit Fee Account Svstem and have ade uate unds check here
if vou want this processed through vour account 0
JOB ADDRESS_1 06'3 ;J vt1 f41\J
(3 1 ;J rJ 0(, ~ (]?c-k_
CONTRACTOR DfL\E)(Ce-fl 1::.<1A.=C~Q \ (, <
DATE ~-I(J-O 7
OWNER
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Fami1y
DRental
~ommercial
o Industrial
SERVICE ONew
o Change
o Temporary
tMNot Applicable
TYPE DOverhead )EgNot Applicable
DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /.;)-0 /.,)..V"O
Phase ::t-
Amps 2-0
Receptacles # ~
Switches # ~
Circuits #
'l
~
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
J'ltFan OR Blower
DMotors
ODishwasher
OFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
o Dryer &Nater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~$ '"Tl4 G<...
LSATH- RcoVV\ A ;,,,.N) ~L()/N3
l' .._,
W \ It. ( '^"'?
A~
VALUE (Indoding labor and ~l' indodiog 6gb' fixtures) $ / if 0 O.
MASTER ELECTRICIAN &4 00 ~
Ou
3/02