HomeMy WebLinkAbout2007-Electric
G
OSHKOSH
ON THE WATER
Job Address 2400 S WASHBURN ST
CITY OF OSHKOSH
No
125544
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner C S I WI LTD PRTSP Create Date 06/27/2007
Category 642 - Commercial-New Building Wiring Plan
o NIA Type o Overhead . Underground
Circuits 170 luminaires 279
Switches 15 Receptacles 125
Contractor TD PADESKY ELECTRIC INC
Service
:_ New
o Change 0 Temp
Volts 120/208
Amps 800
Appliances !Range, Fan or Blower, Motors, Furnace, Gas Pumps, NC, Electric Sign, Water Heater, Canopies, lot Poles
UselNature of ~OMM 1 NEW KWIK TRIP - STORE WIRING, FUELING SYSTEMS, CANOPIES, LOT SIGNS AND POLES
Work
Foes, V"""on ?f15,a.oo.oo
Issued By: ~
Plan Approval $0.00
Permit Fee Paid
$738.00
Date 06/28/2007
D Permit Voided I
Parcelld # 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 935
LA CROSSE WI 54602 - 935
Telephone Number (608) 783-0737
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
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor participatinf! in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this TJrocessed throuvh vour account 0
DATE
6 ..,;}r;, 47
JOBADDRESS I/IVI)()~. WASN6#I'iAJ 51':
OWNER kW/k ?;i,;, z;,..
CONTRACTOR r../l. ~/I"S~" e~It/~ /a.
CHECK ~ ALL APPLICABLE
USE CATEGORY
OSingle Family
SERVICE ~ew
OChange
ODuplex
o Multi-Family
o Rental
[i{;ommercial
o Industrial
OTemporary
ONot Applicable
TYPE OOverhead
IiitUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1~e1 I ~"
Phase ,
Amps . iJO
Receptacles # / ~ ~
Switches # /r
Circuits # /?Q
Fixtures # -l7~
CHECK ~ ALL APPLICABLE
l3fi..ange
[]!fan OR Blower
l:i1t1:otors
ODishwasher
(]ftumace
l!I'Cas Pumps
OGarbage Disposal ODryer l!rtVater Heater
~C I!I'Electric Sign
OOther e"NtItJIIW'~.. ~.,.. ~
,
DESCRIPTION OF ALL WORK BEING DONE ~rIA& W/.I/Q4 - ~1f"~~4
--.IJI1 S~~,.,,~~ ~A,IId'/~~ tdr S'/4N$'" ~~IrS
, ,
MASTER ELECTRICIAN
3/02