HomeMy WebLinkAbout0126033-Electric (basement/1st fl)
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OSHKOSH
ON THE WATER
Job Address 1855 S KOELLER ST
Contractor EXCELLENCE ELECTRIC
CITY OF OSHKOSH
No
126033
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSHKOSH LASALLE 93
Create Date 08/01/2007
Category 643 - Commercial~Addition/Remodels
Plan
_-.-0 Underground
Service
p New
O_~~ange_ 0 TemL____~/~__-.J
Type Q_2-\ierhead
--~
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
--I
Use/Nature of COMM / BASEMENT - 3 LOCATIONS LIGHTING AND RECEPTACLES
Work 1ST FLOOR 2 LOCATIONS VOICE AND DATA LINES
Fees: Valuation $4,230.00
Issued By: mn~
Plan Approval
$0.00
Permit Fee Paid
$128.00
Date 08/01/2007
~ermit Voided I
Parcelld # 1307440601
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 (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 of Inspection Services
",,-~.O. Box 1130
... lshkosh, WI 54903-1130
I \..~.'hone (920) 236-5050
Fax (920) 236-5084
RECEIVED
AUG 0 f 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
ELEOTRICAL PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOjH
ON THE 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 particivating.in the Permit Fee Account System and have adequate funds. check here
if vouwant this processed through Y6ur account 0 .
DATE }-'30-- 07
JOB ADDRESS I g 55 ~- ~flef 5+~-t-/ OS.hKosh I ~ 5 Y qo d:
OWNER ftfRr\<~+I/ ifeqlf1J51/5t-e1J? .
I '
CONTRACTOR Excel/eflce c/ec-tnc.
CHECK m ALL APPLICABLE
~'-
(TSE CATEGORY
,- .JSingle Family DDuplex DMulti-Family
o Rental
,:)Commercial
o Industrial
SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V otts .
Phase
Amps
I
Receptacles #
Circuits #
$witc.hes #
Fixtures #
CHECK m ALL APPLICABLE
ORange DDishwasher DGarbage Disposal
DFan OR Blower DFurnace DAlC
DMotors DGas Pumps . DOther
DESCRIPTION OF ALL WORK BEING DONEJ7a~ tw? vrt '"
\'P;:ef-tCt<:lt.J ... .
li:!:f IfJ&r.;). . loC4-r(~o>u . ~r Ce olld d&ttlt 1('\9
.I~~.rALUE (Including labor and all materia. 'neluding light fixtures) $ lid 30.00
DDryer DWater Heater
DElectric Sign
'7 locc.+col1)
J~ht;'j Cit~
3/02
MASTER ELECTRICIAN