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Home My WebLink About2007-Electric (temp service) e OSHKOSH ON THE WATER Job Address 2400 S WASHBURN ST CITY OF OSHKOSH No 125518 ELECTRIC PERMIT - APPLICATION AND RECORD Owner C S I WI LTD PRTSP Create Date 06/25/2007 Contractor EXCELLENCE ELECTRIC Category 640 - Commercial-Temporary Service Plan Service b New 120/240 Circuits Luminaires o Change . Temp o NIA Type . Overhead o Underground Volts Amps 100 Switches Receptacles Appliances Use/Nature of Kwik Trip 1 Temp. Service only. Job #8883 Work $600.00 Plan Approval $0.00 Permit Fee Paid $32.00 Fees: Valuation Issued By: Date 06/26/2007 D Permit Voided i Parcel Id # 1325500000 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 78 LITTLE CHUTE WI 54140 - 78 Telephone Number (920) 687-2442 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. Electric Permit Work Card Job Address 2400 S WASHBURN ST Permit Number 125518 Create Date 6/25/2007 Owner C S I WI L TO PRTSP Service b New 0 Change. Temp 0 NIA Volts 120/240 Circuits Amps Contractor EXCELLENCE ELECTRIC I Type . Overhead 0 Underground 0 NIA Luminaires Value $600.00 100 Switches Receptacles 640 - Commercial-Temporary Service Kwik Trip I Temp. Service only. Job #8883 UselNature of Work Inspections: Date Type Service Inspector Kevin Benner Date/Time requested: 06/25/2007 08:42 AM Access: Requested by: EXCELLENCE ELECTRIC o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready Date/Time: 06/28/2007 11 :00 AM Phone Number: 841-2599 Tim Date 06/28/2007 Type Temporary Inspector Kevin Benn approved w/cond. M ON 6/28/07 \ reviewed with Kent that the led. He stated that he would do this EXT 5050 I READY FOR A TEMPORARY SERVICE INSPECTION ANYTIME AFT 9:3 ugo nthe bonding bushing needsto tbe tightened and the "Service Disconnect" is to be I Immediately. Approved to energize. Faxed to WPS 6/29/7 Date/Time requested: 06/28/2007 08:35 AM Access: Requested by: EXCELLENCE ELECTRIC - Randy William: o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready Date/Time: 06/28/2007 09:30 AM Phone Number: (920) 450-6813 City of Oshkosh Division of Inspection Services "....-~e.O. Box 1130 '))shkosh, WI 54903-1130 :"hone (920) 236-5050 Fax (920) 236-5084 ~ OfHKOfH ON THE WATER ELEQTRICAL 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 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 particivating,in the Permit Fee Account System and have adequate funds. check here if YOU want this vrocessed through v6ur account 0 . JOBADDRESSc::?4Ce) l),Cbshh)f n 6+ " OWNER ,t:,u) (L 'T'\ I P . CONTRACTOR exc.e I \erlc!e EI~~ (} DATE ~-dd--O~ l ~CHECK 1tI ALL APPLICABLE " JSE CATEGORY I ' / ..JSingle Family DDuplex ClMulti-FamlIy SERVICE DNew ~emporary DChange DNot Applicable DRental )4Commercial OIndustrial TYP~erhead DNot Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts /oQ Ic9cJO Phase I PI/ Amps ,//)n Receptacles # Circuits # $witc.hes # Fixtures # CHECK 1tI ALL APPLICABLE ORange DFan OR Blower DMotors DDishwasher DFurnace DGas Pumps DGarbage Disposal DAle DOther DDryer DWater Heater DElectric Sign DESCRIPTI. ON OH~ Wd: B%.: G DONE Tt (j fi ~t!2fJ /5:::,,(( J I C~(J _ ~., ,rALUE (Including labor and all MASTER ELECTRICIAN &00 CD l~ 00 \d Et<cQ( \erY:!€ t: J€~{ 10- ..4 ~ o~ (O~ -~ fS8C($3 3/02