HomeMy WebLinkAbout0125349-Electric (water heater; a/c)
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OSHKOSH
ON THE WATER
Job Address 500-550 S KOELLER ST
Contractor SUBURBAN ELECTRICAL ENGINEERINt
CITY OF OSHKOSH
No
125349
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner RIVER VALLEY ONE LLC Create Date 06/14/2007
Category 643 - Commercial-Addition/Remodels Plan
. N/A Type o Overhead o Underground
Circuits 40 Luminaires 31
Switches 3 Receptacles 50
Volts
Amps
Appliances WC, water heater, motor
Use/Nature of ~OMM (#530 Fed X1Kinkos) / tenant build out.
Work
Fees: Valuation
$14,000.00
Plan Approval
$0.00
Permit Fee Paid
$237.00
Issued By:
~
Date 06/14/2007
D 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
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 ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
.~
OfHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. AppIication(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(VQU are a contractor 1JarticirJatin~ in the Permit Fee Account Svstem and have adequate funds. check here
If,lQu.l9a.ntthis vrocessed :hrouzh ",our account D
.5:30
.JOBADDRESS~ ~, ~DP\lf--f ~-+'"
OWNER G.\\'{~\ ~
CONTRACTOR ~buibcv\ (!j \e.ctri (
DATE to,. t3-u7-.
CHECK 62l ALL APPLICABLE
USE CATEGORY
OSingle Family
SERVICE ONew
OChange
DDuplex
OMulti-Family
o Rental
'fcomrnercial o Industrial
o Overhead }'(Not Applicable
DUnderground
OTemporary
~ot Applicable
TYPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Switches #
5tJ
.3
Circuits #
Lf()
31"
. Volts
Phase
Amps
I
Receptacles #
Fixtures #
CHECK 6:1 ALL APPLICABLE
ORange DDishwasher
OFan OR Blower OFurnace
~otors DGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE -If)) n6.--11-j
~~bage Disposal
DDxyer ~Water Heater
OElectric Sign .
& j 1:/ it/i.
l4, 000 -
it..
$d~1,
IfIJ4jA I f1
Ih~J
G ~/J--cn . f. r1
eellll <62/)-7010, 3/02
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