HomeMy WebLinkAbout2007-Electric
G
OSHKOSH
ON THE WATER
Job Address 177 N WASHBURN ST
Contractor SUBURBAN ELECTRICAL ENGINEERINI
CITY OF OSHKOSH
No
126302
ELECTRIC PERMIT - APPLICATION AND RECORD
Create Date 08/16/2007
Owner MILLS PROPERTIES INC
Category 643 - Commercial-Addition/Remodels
Plan
Service
b New
o Change 0 Temp
eN/A ~
Circuits
Type Q Overhead
10
2
o Underground
Volts 0
luminaires 25
Amps
Switches
Receptacles 8
Appliances
1-. .---
!
UselNature of iCOMM (FLEET FARM) / DISCONNECT AND RECONNECT POWER AS NECESSARY FOR SPORTING GOODS EXPANSION /
Work BREAKROOM AREA REMODEL **check #37791
Fees: Valuation $15,100,00
Issued By: ~S-
Plan Approval $0.00
Permit Fee Paid _J~9.00
Date 08/16/2007
D Permit Voided I
Parcelld # 0614000000
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.
S~ndu~ Da~
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 (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.
Sep 10 04 08:33a
Oshkosh
I nspeci=ll: C E IVED5084
p. 1
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone"(920) 236-5050
Fax (920) 236-5084
AUG 1 6 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPEGION SERVICES DIVISION
<~
OJHKOJH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
AU 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. Conunencing work without pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I(vou are a contractor varticipating in the Permit Fee Account Svstem and have adequate funds. check here
i(vQU want this processed through YOUr account D
.JOB ADDRESS 1r;f7 AI. kkhlnxtll2d.
OWNER~~
CONTRACTOR (.I
!)ATE B-/P-QI
CHECK 0' ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex
OMulti-Family
o Rental
~ercial
DIndustrial
SERVICE =.se
Elemporary
~ot Applicable
TYPE DOverhead
DUnderground
~Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Switches #
![
-2-
Circuits #
/0
25.
" Volts
Phase
Amps
7"f'{) /l 7?
;?t!!J"
~
Receptacles #
Fixtures #
CHECK Ii1 ALL APPLICABLE
ORange ODishwasher OGarbage Disposal
OFan OR Blower OFurnace ONe
DMotors OGas Pumps DOther
" DESCRIPTION OF ALL WORK BEING DONE ~~YVJ d- 1 dIP .f'COn\'\<2* P:;L.d"'X O~
to~j5~ ~ S~r--t>~~--!))l~~lh~~='~t(V\~~~N-e~
ODryer
OElectric Sign
OWater Heater
. VALUE(Indnding"bor.nd~~nres)$
MASTER ELECTRICIAN
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