HomeMy WebLinkAbout0125399-Electric (Life Fest)
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OSHKOSH
ON THE WATER
Job Address 500 E COUNTY RD Y
CITY OF OSHKOSH
No
125399
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
WINNEBAGO COUNTY FAIRGROUNDS
Create Date 06/19/2007
Contractor
TOWN & COUNTRY ELECTRIC
Category 657 - MISC.- OTHER THAN BUILDINGS
Plan
o Change . Temp
ON/A
Type 0 Overhead
o Underground
Service
b New
120/208
Circuits
Luminaires
Volts
Amps
Switches
Receptacles
Appliances
Use/Nature of SPECIAL EVENT / TEMPORARY WIRING FOR LIFE FEST
Work
Fees: Valuation $2,200.00
Issued By: ~2r
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 06/19/2007
D Permit Voided I
Parcelld # 1530000000
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
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number (920) 225-6507
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 of Inspection 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.
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor particivatinf! in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this vrocessed through vour account 0
SOD E.
~
OWNER
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Family
o Rental
o Commercial
DIndustrial
SERVICE DNew
o Change
'lilT emporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I d..O /.J oH
Phase
Amps
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DNC
o Other
o Dryer DWater Heater
DElectric Sign
"
DESCRIPTION OF ALL WORK BEING DONE! -e ~i) r f... r j ~'R; (l.~
VALUE (Including labor and all materials including light fixtures) .$...
.:;2./ d-.- 0 0 . ~_
"
MASTER ELECTRICIAN
3/02