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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
124481
ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 146 ALGOMA BLVD Owner 146 ALGOMA BLVD LLC Create Date 04/30/2007
Contractor BULLSEYE ELECTRIC INC Category 643 - Commercial-Addition/Remodels Plan
Service . New o Change o Temp ON/A Type o Overhead . Underground
Volts 120/208 Circuits 12 Luminaires 12
100 Switches 6 Receptacles 10
Use/Nature of ICOMM / Wire for yoga Sute F.
Work
Fees: Valuation $3,975.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$111.00
Date 04/30/2007
o Permit Voided I
Parcelld # 0701230000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 se~, any ~ece:.~Cl,a~r~als before starting such activity.
Signature d;,d-.r7 (?~,:-.::.-~ ' Date y - 9'<' . <, <1
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
()shkos~ VVI54903-1130
Phoneo(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All infonnation 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 witboutpermit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
[fvou are a contractor participating in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this Drocessed tkrou!!h vour account D. 0
DATE </~ ~-: C5.;z
JOB ADDRESS /</<:;;; ;:::-' /J4.-~t9 &.v ~~
OWNER/q~ /;~,c; ~y.{)_ .LG6
o CO~CTOR &/?::sc~c <::;:G~;;r;e:::zL,
v
CHECK ~ ALL APPLICABLE
USE CATEGORY
OSingle Family
SERVICE )SINew
DChange
DDuplex
OMulti-Family
DRental
9Commercial
OIndustrial
OTemporary
DNot Applicable
TYPE DOver head
lmlnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
o Volts I;:;t-) I~
::phase -Sz "v:;;-<"~~ .
:Amps / .-10
.
Receptacles #
/C)
k:?
Circuits # / c4
Fixtures # I d..
Switches #
CHECK ~ ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
EdFumace
DGas Pumps
OGarbage Disposal
aA/C
DOther
ODtyer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE ~te;z.o:q rd7k2.. ~~ ?+ -:::;;;XTt f
. 0 VALUE (Including labor and all materials including light f'lXtures) $ 3975,.:!!!?' 0
MASTERELECTRICIAN a ~
3/02