HomeMy WebLinkAbout2007-Electric
e
OSHKOSH
ON THE WATER
Job Address 285 S WASHBURN ST
Contractor OWN & COUNTRY ELECTRIC
CITY OF OSHKOSH
No
125884
: "._,' - _..''.__-.-- '.<< ,,'<,_.~'.,< ,. :::,' ,'" _','.'".'.' ,".--.", 'c,__,
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BERGSTROM FOX VALLEY INC
Create Date 07/19/2007_
category 043 - Comrnercial-Addition/Remodels
Plan
Service
I New
o <:;hange 0 Temp
.N~~
Type ~erhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of ~OMM / WIRE INTERIOR REMODEL (Job #388084)
Work
$35,000.00
Plan App'h5val
$0.00
Permit Fee Paid
$318.00
Issued By:
Date 07/19/2007
------.--
o Permit Voi~
Parcelld # 1365010600
In the perfo ance ofthisvvork I agre~toperforrT1 aUworkpursuahtto 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
POBOX 627
APPLETON WI 54912 - 627
Telephone Number (920) 225-6507
.. :;', ,,' ,
To sched Ie inspections please call1l'1e Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspectio (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number.lUnless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue /f the inspection is not performed within two business days from the time the project is ready.
I
!
. ,.,_".'.,..'." ...........,.,.',.......,;. '.'" ". c,'-,
RECEI'VEO
JdJ-ff 2> <g' <6(yg L(
Ci~Of Oshkosh
Di . ision .Of In..S.p.ectl.'O n. Services
P. I. Box 1130
Os osh, WI 54903-1130
Ph ne (920) 236-5050
F (920) 236-5084
JUL 1 9 2007
\)U'hi-, i ,-,cNT OF
COMHijl\JITY CitVELOPMENT
INSPECnON SERVICES DIVISION
ELECTRICAL PERMIT APPLICAtiON
All informatlO~Iifl~I'~()lacategorieSIl1ust be provided.
Incomplete applications will not be processed.
. -,:' ,- ::,<.:"<:::,::,-,-i':: ~ ,::' '. ..... ..
. Application(s )!lI1d.fee(s} call be brought to CitY Hall; Room or mailed to Inspection Services, POBox t 1 :28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
1 ou are a contractor artici atin in the Permit Fee Account S stem and have ade check here
i I ou want this rocessed throu h our account 0
J I BADDRESS &'6:; S NaSMhuVVl
o NER B~s~Wl I+oVld C1
C~1'ih.ACT()R.'1dW M ~ wuWhy U <'c-f-n '(!
C~5J{rll '""~ APPLICAlILE '
UrE CATEGORY
dSingle Family DDuplexOMulti-Fa.,'nil)' ORental
.. - . j
DAT~ 7;/ 3-() 7
~ommercial
DTndustrial
S RVICE DNew
DChange
o Temporary
DNot Applicable
TYPE DOverhead
o Underground
DNot Applicable
F LL IN THE APPROPRIATE BLANK WITH THE NUl\1BER
I
Receptacles #
Circuits #
Switches #
Fixtures #
ECK 0' ALL APPLICABLE
DDishwasher
DFurnace
DGas Pumps
OOarhage Disposal
DAlC
o Other
DDryer DWater Heater
OElectric Sign
....... ." ,..... .....:. --..., ','.,
DESCRIPTION OF ALL WORK BEING DON~
ALlU.t(Iricludinglabor and alfmaterials including tight fixtures)$ 3510 () D, () 0
He
:1t :3 /g , () 0
. i ~,'
-l~'f~Rjl:tttttil~IAN JtUAMoI :4-, ~ _ cr. I!~