HomeMy WebLinkAbout0126829-Electric
o
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
126829
Job Address 500-550 S KOELLER ST
Contractor ENDEAVOR ELECTRIC
Service . New o Change
Volts 120/208
Amps 200
Owner RIVER VALLEY ONE LLC
Category 643 - Commercial-Addition/Remodels
o Temp ON/A Type . Overhead
Circuits 22
--~
Switches 6
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Create Date 09/18/2007
Plan
o Underground
i
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Luminaires
43
Receptacles 21
Appliances Furnace, Electric Sign
!
j
Use/Nature of 540 S KOELLER ST / BUILD OUT TENANT SPACE FOR "SPORT CLIPS HAIR CUTS"
Work
I
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Fees: Valuati~ _ _ $5,300.00
Issued By: .1lY.l)~
Plan Approval
$0.00
Permit Fee Paid --.1145.00
Date 09/18/2007
o Permit Voided I
Parcelld # 0611620000
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
AgenUOwner
Address
985 EHLERS RD
NEENAH
WI 54956 - 1416
Telephone Number (920) 729-1400
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
.
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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 you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed throuflh your account 0
.sJ/D
JOBADDRESS -f;-I).tr 5. *'~.~ >>.
OWNER~ l)~ ~ L Lc!.,
CONTRACTOR ~ ~ ~ p
DATE 'ilf ,I D 7
,
CHECK 0 ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex
OMulti-Family
o Rental
fScommercial
Dlndustrial
SERVICE }iaNew
o Change
DTemporary
DNot Applicable
TYPE ~Overhead
o Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I d.() I ).0 'b
:3
d--6D
Receptacles #
Switches #
ill
(o
Circuits #
;)~
1/3
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDishwasher
lRFumace
DGas Pumps
DGarbage Disposal
DAIC
o Other
DDryer DWater Heater
~lectric Sign
DESCRIPTION OF ALL WORK BEING DONE
gUiLD
.,--
C)J!
rOfL
5ib,IlfS C~PS
SPOR.T CLl P5
HPrIR c.uT.S
VALUE (Including labor and all materials including light fixtures) $ :;-300
MASTER ELECTRICIAN ,fO lit- ,77./5TI Mil !<-
3/02