HomeMy WebLinkAbout0124760-Electric (temporary power)
G
OSHKOSH
ON THE WATER
Job Address 2800 N MAIN ST
CITY OF OSHKOSH
No
124760
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
RABIN WORLDWIDE/DALE E BECKER
Create Date 05/11/2007
Contractor
SUBURBAN ELECTRICAL ENGINEERINI
Category 650 - Industrial-Temporary Service
ON/A
Type . Overhead
Plan
o Underground
Service
o New
120/240
D Chang~___ . Temp
Volts
Circuits
Luminaires
Amps
200
Switches
Receptacles
Appliances
Use/Nature of INDUSTRIAL / PROVIDE 200 AMP TEMPORARY POWER OVERHEAD
Work
Fees: Valuation $2,000.00
Issued By: S ~---_.._.
Plan Approval
$0.00
Permit Fee Paid ___ $77.0Q
Date 05/11/2007
o Permit Voided I
Parcelld # 1519600301
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 secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
709 N HICKORY FARM LN
APPLETON WI 54914 - 3032
Telephone Number 920-739-5156
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.
Sep 10 04 08:33a
Oshkosh Inspections
920-236-5084
p. 1
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'{920) 236-5050
Fax (920) 236-5084
RECEIVED
D~::R~:E~~O~F ~
COMMUNITY DEVEL()PME~
INSPECTION SfP.VICE~ .JIVI9.!.aW HKOJH
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 permit fee, which ever is greater.
OR
If you are a contractor oartleiva/in!! in the Permit Fee Account System and have adequate funds. check here
i[vou want this processed throueh YOUr account 0
DA~~ ()/I, }D1
.JOB ADDRESS 9-~~!. fY)cun ,\f.
Omwl CJy~~
CONTRACTOR .' .,fun 6/ffirt6
CHECK 0' ALL APPLICABLE
USE CATEGORY
OSingle Family
DDuplex OMulti-Family
'rJ'.:[emporary
tiNot Applicable
DRental DCommercial ~dustriaI
TYPE ~Overhead ONot Applicable
OUnderground
SERVICE ONew
o Change
Fll.L IN THE APPROPRIATE BLANK WITH TIlE NUMBER
;::::.1 ~~ I ;)illl
Amps ----,Df)
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange ODishwasher OGarbage Disposal DDtyer OWater Heater
OFan OR Blower OFumace ONC OElectric Sign
o Motors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE ProVI de '-nrn f2---fJt,^rel i
VALUE (Including labor and I materials in,eluding light f'lXtures) $ 2, coO
/ . f:\
, -, n
i\ I . I
~77.9P
3/02