HomeMy WebLinkAbout0126787-Electric
o
OSHKOSH
ON THE WATER
Job Address 300-316 N KOELLER ST
CITY OF OSHKOSH
No
126787
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
BROS LLC
Create Date 09/04/2007
Contractor
SUBURBAN ELECTRICAL ENGINEERINI
Category 643 - Commercial-Addition/Remodels
o Change 0 Temp
. N/A
Type 0 Overhead
Plan
o Underground
Service
18 New
Volts
Circuits 20
Luminaires
41
Amps
Switches 13
Receptacles
58
Appliances
I
I
J
--l
!
Use/Nature of 310 N Koeller / Split tenant space 310 and build out East half into Anytime Fitness. "check #38122
Work
_._-------~-._---_._._--~-----_.._-------_._._._------._---------_.._._-------_.~-~-------_.._-----j
Fees: Valuatio.n ...... $13,750.00
Issued By: ~~~
- . ~V
Plan Approval $0.00
Permit Fee Paid ___~~}7.0Q
Date 09/14/2007
o Permit Void~
Parcelld # 1608701100
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)?3~=!515~
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
.~
OJHKOJH
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
Ifvou area contractor participatine in the Permit Fee Account System and have adeQuate funds. check here
ifvou want this processed throueh your account 0
DA~~ -D1
OWNER
CONTRACTOR
CHECK ~ ALL APPLICABLE
USE CATEGORY
DSingle Family
SERVICE ONew
OChange
DDuplex
o Multi-Family
o Rental
TYPE
~CommerciaI o Industrial
DOverhead DNot Applicable
DUnderground
OTemporary
DNot Applicable
FILL:IN THE APPROPRIATE BLANK WITH THE NUMBER
Receptacles # 5 e,
. Volts
l'hase
Amps
Switches # \ .'2J
Circuits # .~ ().
FIXtures # -4 \
I
CHECK 0' ALL APPLICABLE
ORange DDishwasher OGarbage Disposal
~an OR Blower DFumace ONe
o Motors DGas Pumps DOllier
DESCRIPTION OF ALL WORK BEING DONE\'~,(\'0l~f\ t
ODryer ~ater Heater
OElectric Sign .
6uIld ,.CLi+
VALUE (Including labor and 3;JI-' terials iry~luding li~bt f....xtures) $ )3 I -15D ,-
/ i' .. - {il
, .',.. i ! . fir !. 1 >
MASTERELECTRICIAN( .. . (II '\,,' -' i,(./ /tlLlr1 .
. ~-"Y
3/02
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