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OSHKOSH
ON THE WATER
Job Address 524 N KOELLER ST
Contractor M.J. ELECTRIC, LLC
CITY OF OSHKOSH
No
126299
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DUMKE AND ASSOCIATES LLC
Create Date 08/15/2007
Category 640 - Commercial-Temporary Service
Plan
o Change . Temp
ON/A
Type .__Qyerhead ____~----.OJd~erground ___J
Service
Q:Eew
120/240
Volts
Circuits
Luminaires
Amps
100
Switches
Receptacles
Appliances
Use/Nature of emporary Service and associated job trailer wiring" MJE Job#67226-300
Work
Fees: Valuation $200.00
Issued By: ~~---
Plan Approval
$0.00
Permit Fee Paid
$25.00
Date 08/16/2007
D~ermi0'oided I
Parcelld # 1608700900
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
P.O. BOX 686
IRON MOUNTA MI 49801 - 686
Telephone Number (906) 776-4492
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
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
Fr~cl NUv-.J
q(J~ 3Cj(q d.'7Cf5"'
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) andfee(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
I ou are a contractor artici atin in the Permit Fee Account S stem and have ode uate unds check here
if vou want this processed throuf!h your account 0 .
JOB ADDRESS 51..4
OWNER.
CONTRACTOR
;1. 1<-0 e-tl-ev sJ-
DATE '3 -I"S --: 0 7
CHECK fa ALL APPLICABLE
USE CATEGORY
OSingle Family
SERVICE ONew
OChange
DDuplex OMulti-Family
p(Temporary
ONot Applicable
ORental
~Commercial
OIndustrial
TYPE 1210verhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts !,). 0 I J- ~O
:Phase I
Amps /' 013
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK Ii1 ALL APPLICABLE
ORange
OPan OR Blower
DMotors
ODishwasher
OFumace
DGas Pumps
OGarbage Disposal
ONC
DOther
ODryer OWater Heater
OElectric Sign
<"-
DESCRIPTION OF ALL WORK BEING DONESe r V Ie e
Y;a)/er
hooKUE) -k>r o-r-h~'E'
I
, . VALUE (Including labor and all materials including light fIxtures) $ 2-d d ~ <Y'"Q..
MASTER ELECTRICIAN
'\
~-
11 SkIP
3/02
'..'~ .
Job Address 524 N KOELLER ST
Electric Permit Work Card
Permit Number 126299
Create Date 8/15/2007
Owner DUMKE AND ASSOCIATES LLC Contractor M.J. ELECTRIC, LLC
Service b New 0 Change. Temp 0 N/A I Type . Overhead 0 Underground 0 N/A
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Use/Nature ~O - Commercial-Temporary Service Temporary Service and associated job trailer wiring* MJE Job#67226-300
of Work
Value
$200.00
I
Inspections:
Date 08/14/2007 Type Temporary Inspector Kevin Benner not approved
Need two ground rods and the one that was installed has 3' cut off of it, treated plywood shall be installed, 10 "Service Disconnect",open
k.o. on the bottom to feed the trailer that is not yet installed on site, power was disconnected from the receptacles that the covers were
broken on, Lecense and Permits required. I delivered the paperwork to Fred on site.
DatelTime requested: 08/14/2007 09:03 AM
Access:
Requested by: MJ Electric Phone Number: 906-396-2795 Fred N
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
--- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- - - - - - - - - --
Date 08/15/2007 Type 'Re Service Inspector Kevin Benner not approved
Notice Type:
Ready DatelTime: 08/14/200709:03 AM
DatelTime requested: 08/15/2007 11 :16 AM
Access:
Requested by: MJ Electric
o Reinspect Fee 0 Fee Wavied
Notice Type: FC Ready DatelTime: 08/15/2007 11: 16 AM
Phone Number: 906-396-2795 Fred
o Reinspect Fee Paid
Date 08/16/2007
Faxed to WPS 8/16/07
Type Re Service
Inspector Kevin Benner
approved
- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - -. - - - - -- - - - - - - - - - - - - - --- - - - - --- - - - - -- - - - -- - - - - -- - - - - - - - - - ---
DatelTime requested: 08/16/2007 10:06 AM
Access:
Requested by: M.J. ELECTRIC, LLC
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Notice Type:
Ready DatelTime: 08/16/200710:06 AM
Phone Number: 906-396-2795 Fred
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - -- - - - - - - - - - --- - - - - - - - - - --. - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - -- - - - - - --