HomeMy WebLinkAbout0126138-Electric (sign)
G
OSHKOSH
ON THE WATER
Job Address 600 N WESTHAVEN DR
CITY OF OSHKOSH
No
126138
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WESTHAVEN OFFICES LLC
Create Date 08/07/2007
Category 643 - Commercial-Addition/Remodels
Plan
Contractor EISCH ELECTRIC INC
Service
b New
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
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Use/Nature of FOMM / Thedacare Medical Center "Provide elE3Ctrical service for parking lot sign:**DEBIT ACCT",
Work
I
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Issued By:
$3,200.00
fhn.4
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$111.00
Date 08/07/2007
o Permit Voided I
Parcelld # 1621650100
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 621
NEENAH
WI 54957 - 621
Telephone Number (920) 725-5080
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
~
OfHKOfH
ON THF 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 varticivatinf! in the Permit Fee Account Svstem and have adequate funds. check here
i[ vau want this processed through vaur account 0 DATE 'if /6 k 1
::::l-hpJCt~~~e~:1~~rt)Cr'1*r RECEIVED
CONTRACTOR ~ I Sc ~ ~ let {r I ~ .r,., L AUG 0 7 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family
DDuplex
DMulti-Family
o Rental
~ommercial o Industrial
o Overhead DNot Applicable
DUnderground
SERVICE DNew
o Change
o Temporary
DNot Applicable
TYPE
V 01t8
Phase
Amps
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
/ ---------
/'
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Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange ODishwasher DGarbage Disposal DDryer DWater Heater
DFan OR Blower o Furnace DNC DElectric Sign
DMotors DGas Pumps f30ther _ Parkl'rJ Lei- S!'J n
DESCRIPTION OF ALL WORK BEING DON,E ~(,D v\'k ~ leetrll(tt t rO'-
-P c\'r)( '~ J 0+ s tz) n .
VALUE (Including labor and all materials including light fixtures) $
?(d.-()O,OeJ
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MASTER ELECTRICIAN
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