HomeMy WebLinkAbout2007-Electric (air/vac machines)
G
OSHKOSH
ON THE WATER
Job Address 403 N SAWYER ST
CITY OF OSHKOSH
No
126922
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
JAMES H LANG PROPERTIES INC
Create Date 09/24/2007
Contractor
ELECTRICAL CONTRACTING SPECIALI
Category 643 - Commercial-Addition/Remodels
Service
p New
o Change 0 Temp
. N/A
Type 0 Overhead
Plan
o Underground
Volts
240
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of COM\ WIRE REPLACEMENT AIRNAC MACHINES.
Work
Fees: Valuation
$1,000.00
Plan Approval
$0.00
Permit Fee Paid
$60.00
Issued By:
41/rE/'
Date 09/24/2007
D Permit Voided I
Parcelld # 1610570000
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 applicatiori 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
4641 RED FOX RD
OSHKOSH
WI 54904 - 7784
Telephone Number (920) 230-1994
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.
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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ON THF WATFR
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 orocessed through your account 0
DATE q/Z.V/O'1
, .
JOBADDRESS 403 ;I.~p/
OWNER ~ l>t'-f
CONTRACTOR FL.,!>
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial
SERVICE DNew
o Change
o Temporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE Iv in<- /1-; - .,.. ~ ~~
..-.2
) $ r T'r""b 0 ;;--
VALUE (Including labor and all materials including light fixtures v -
MASTER ELECTRICIAN ~
3/02