HomeMy WebLinkAbout0124237-Electric
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OSHKOSH
ON THE WATER
Job Address 500-550 S KOELLER ST
CITY OF OSHKOSH
No
124237
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
RIVER VALLEY ONE LLC
Create Date 04/16/2007
Contractor
BRAUN ELECTRICAL SOLUTIONS INC
Category 643 - Commercial-Addition/Remodels
Volts
. New
120/208
Circuits
Type 0 Overhead
20
Plan
. Underground
Service
o Change 0 Temp
ON/A
Luminaires
18
25
Amps
200
Switches
Receptacles
Appliances
Use/Nature of 520 / Run-Away Shoes
Work
Fees: Valuation
$11,850.00
~
Plan Approval
$0.00
Permit Fee Paid
$225.00
Issued By:
Date 04/16/2007
o Permit Voided I
Parcelld # 0611620000
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
AgenUOwner
Address
255 LAKE POINTE DR
OSHKOSH
WI 54904 - 7861
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 pennit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
/fvou are a contractor participatinf! in the Permit Fee Account System and have adeouate funds. check here
ifvou want this processed throuf!h vou~ account D. .
DATE Lj -/3- tJ?
OWNER.
, CONTRACTOR--/!J ('~ I LV'-
.lv S"+
CHECK Ii1 ALL APPUCABLE
USE CATEGORY
OSingle Family
SERVICE. $INew
DChange
ODuplex
DMulti-Family
DRental
mCommercial
DIndustrial
DTemporary
DNot Applicable
TYPE DOverhead
)OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
,Volts J 2.0 I 2.0~
:rhase '3
Amps 2-DO
Receptacles # 2. 5"
Switches # /
,
Circuits # 26
FixtUres # /-g ~
CHECK ~ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
OGas Pumps
DGarbage Disposal
ONe
DOther
DDryer DWater Heater
DElectric Sign
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DESCRIPTION OF ALL WORK B~ING DONE () i!:CI1. r (1A..V'<v{
/2.0 f' //1.-; . -:-<; r " f.v~.I\ eAt. cs. ~
.. ~,JQ -:::;+ - {~
~ . AI--.J." S"4 P <;'
.' VALUE (Including labor and all materials including light lIXtures) $ Z~ b; 00
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