HomeMy WebLinkAbout0126245-Electric
o
OSHKOSH
ON THE WATER
Job Address 3555 MOSER ST
Contractor SUBURBAN ELECTRICAL ENGINEERINI
CITY OF OSHKOSH
No
126245
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
b New
o Change 0 Temp
Owner LLC PACUR Create Date 08/14/2007
Category 653 - Industrial-Addition/Remodels Plan
. N/A Type o Overhead o Underground
Circuits 25 Luminaires 96
Switches 4 Receptacles 25
Volts
Amps
Appliances Fan or Blower
Use/Nature of INDUSTRIAL / WAREHOUSE ADDITION
Work
Fees: Valuation $76,000.00
Issued By: ~~
Plan Approval
$0.00
Permit Fee Paid
$444.00
Date 08/14/2007
o Permit Voided I
Parcelld # 1519606400
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
709 N HICKORY FARM LN
APPLETON WI 54914 - 3032
Telephone Number (920) 739-5156
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.
Sep 10 04 08:33a
Oshkosh Inspections
920-236-5084
p. 1
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
RECEIVED~
AUG142007 ~
DEPARTMENT OF 0
COMMUNITY DEVELOPMENT ifHKOJH
INSPECTION SERVICES DI.V1SION 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
[(vou are a contractor varticivatin1!' in the Permit Fee Account System and have adequate funds. check here
ifvou want this vrocessed throu1!'h your account 0
DA~~~
OWNER
CONTRACTOR
CHECK ~ALL APPLICABLE
USE CATEGORY
OSingle Family
SERVICE ONew
DChange
ODuplex
OMulti-Family
o RentaI ~Commercial DIndustrial
TYPE Ooverhead-fNot Applicable
DUnderground
OTemporary
--$.Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Switches #
:;;s
L,j
Circuits #
d5
0~
. Volts
Phase
Amps
I
Receptacles #
Fixtures #
CHECK filJ ALL APPUC.ABLE
"..p}Unge ODishwasher OGarbage Disposal
\QWan OR Blower OFumace ONe
DMotors DGas Pumps DOllier _
DESCRIPTION OF ALL WORK BEING DONE W~hCLtY'
ODxyer DWater Heater
OElectric Sign
A(idl~()Y\
VALUE (Induding labor and all materials indu 'ng light fixtures) $ ,La I txx)'-
i;/
,/,
~ q~4 -
MASTER ELECTRICIAN
3/02