HomeMy WebLinkAbout2007-Electric (rewiring)
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OSHKOSH
ON THE WATER
Job Address 1424 S MAl N ST
CITY OF OSHKOSH
No
126934
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DONALD B CONDON ETAL ESTATE
Create Date 09/25/2007
Contractor TEAM SERVICES INC
Category 643 - Commercial-Addition/Remodels
Service
p New
o Change 0 Temp
. N/A
Type 0 Overhead
Plan
o Underground
Volts
Circuits
luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of COMM / REWIRING OF EXISTING PETROLEUM EQUIPMENT **check #58798
Work
Fees: Valuation $11,000.00
Issued By: ~8
Plan Approval
$0.00
Permit Fee Paid
$219.00
Date 09/25/2007
D Permit Voided I
Parcelld # 0304810000
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
2602 AMERICAN DR
APPLETON WI 54914 - 9010
Telephone Number (920) 738-5885
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, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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SEP 2 4 Z007 ~
DEPARTIV1ENT OF f""I)jHV10ifH
COMMUNITY DEVELOPMEN I U. N
INSPECTION SERVICES DIVISION ON THE WATER
ELECTRICAL PERMIT APPLICATION
R
1 Ch 813
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 withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. '
OR .
If vou are a contractor particivating in the Permit Fee Account Svstem and have adeQuate funds. check here
if vou want this processed throuf!h vour account 0
DATE '''' /f}-d7
JOB ADDRESS_\lta4--S~1a\ n' :1td
OWNER r,C'ndDf1 on
CONTRACTOR kaxYl 5f'r'-i \ r..x:.s lnr~
CHECK 0 ALL APPLICABLE
USE CATEGORY
OSingle Family o Duplex
o Multi-Family
ORental
I)(Commercial
o Industrial
SERVICE DNew
o Change
o Temporary
Wot Applicable
TYPE OOverhead
OUnderground
lii:lNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
/
Receptacles #
Circuits #
Volts
Phase
Amps
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
OFan OR Blower
OMotors
ODishwasher
OFurnace
OGas Pumps
OGarbage Disposal
ONC
o Other
o Dryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
fJ1-Trc lev __ ~ <.; J jJ -.e..vJ,
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01
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VALVE (Including labor and all
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MASTER ELECTRICIAN
3/02