HomeMy WebLinkAbout2007-Electric
G
OSHKOSH
ON THE WATER
Job Address 1205 S WASHBURN ST
CITY OF OSHKOSH
No
125820
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MCCRORY MATTRESS & FURN INC
Create Date 07/17/2007
Category 643 - Commercial-Addition/Remodels
o Change 0 Temp
. N/A
Type 0 Overhead
Plan
o Underground
Contractor ALLIED ELECTRIC LLC
Service
b New
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
__u.J
Use/Nature of OMM /INTERIOR REMODEL FOR THE ASHLEY HOME STORE
Work
Fees: Valuation $39,100.00
Issued By: ~ 25
Plan Approval
$0.00
Permit Fee Paid
$333.00
Date 07/17/2007
o Permit Voided I
Parcelld # 1311710100
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
1273 GLORY RD SUITE A
GREEN BAY WI 54304 - 5636
Telephone Number 920-884-6999
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 ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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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 varticivatine in the Permit Fee Account Svstem and,have adequate funds. check here
if vou want this vrocessed throueh vour account 0
DATE 7- J/-// )
JOBADDRESS /.2~~ LV.:t5h iJUJ'Y1
OWNER /!-J!1ley /tiM-e S'~/~f
CONTRACTOR d-/J-el CtP(/n( I l CC
P'
CHECK It:! ALL APPLICABLE
USE CATEGORY
DSingle Family
SERVICE ONew
o Change
DTemporary
pNot Applicable
TYPE
YCommercial o Industrial
o Overhead ONot Applicable
o Underground
DDuplex
DMulti-Family
o Rental
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
/
Receptacles #
Circuits #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK It:! ALL APPLICABLE
ORange
OFan OR Blower
o Motors
DDishwasher
DFumace
DGas Pumps
OGarbage Disposal
DA/C
o Other
ODryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE A -k r/(j /"
6/~cL/v(J- Pe~/ifVl
VALUE (Including labor and all materials including light fixtures) $ ~q ,iDO. OC)
MASTER ELECTRICIAN ,)C--/ / {/
3/02