HomeMy WebLinkAbout0125671-Electric (metering system)
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OSHKOSH
ON THE WATER
Job Address 525 W 20TH AVE
CITY OF OSHKOSH
No
125671
ELECTRIC PERMIT . APPLICATION AND RECORD
Owner WINNEBAGO COUNTY
Create Date 07/09/2007
Contractor TOWN & COUNTRY ELECTRIC
Category 643 - Commercial-Addition/Remodels
. N/A
Type 0 Overhead
Plan
o Underground
Service
K) New
o Change 0 Temp
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
UsefNature of Orion Flight Service / Wiring associated with the upgrading of the fuel dispensing metering system to a digital system* T&C job #384718
Work
Fees: Valuation $2,600.00
Issued By: ~~V-
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 07/09/2007
o Permit Voided I
Parcel Id # 1413530000
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 (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.
:
RECE'VED-l~~41\~
JUL 6 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
..
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
q4 ' 00
(I)
OJ OJH
WATER
· 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 lJarticipatinz in the Permit Fee Account System and have adequate funds. check here
if YOU want this lJrocessed through your account 0
DATEJ /'L rbl
JOB ADDREssD~6Yl ~l1 ~VG\~Y1i C( _
OWNER :5~ <...D a..o~
CONTRACTOR1rN~ \fl { rlSv\Y\1Y~e-(M ~
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
o Rental
'1s.Commercial
o Multi-Family
SERYICEDNew
DTemporary
DNot Applicable
TYPE OOverhead
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts / Receptacles #
Phase
Amps .. Switches #
...:~(}tfP:(CJ~ ,if -\C~ \..0 ~ V@L +~~ Cpb)'€~.
CHECK 0' ALL APPLICABLE
Circuits #
Fixtures #
- - -.._~
~.~- " ,- . , .. ,'-
." _._~.-.;,,>,-..-- ...~.".,,- -,',
ORange
DFan OR Blower
DMotors
Dlndustrial
DNot Applicable
ODishwasher DGarbage Disposal DDryer
OFumace OAlC ':'-. OElectric Sign
DGas Pumps ~Other F \J...((. \ U:~hS )n1.
DESCRIPTION OF ALL WORK BEING DONE .J:hc,fll\\C\~ ~ ~ }illJ2r
'(rift ~ \ 010 \YM <:,{ v'l0 q\~ L,-\-cvvj
DWater Heater
VALUE (Including labor and all materials including light fixtures) $2--/000
MASTER ELECTRICIAN
, ;
3/02