HomeMy WebLinkAbout0126959-Electric
o
OSHKOSH
ONTHE WATER
Job Address 815 S WESTHAVEN DR
CITY OF OSHKOSH
No
126959
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
SORROWFUL SISTEROF THE MGI
Create Date 09/26/2007
Category
643 - Commercial-Addition/Remodels
------------~-------_._------------_.._-
Plan
Contractor
NORTHLAND ELECTRICAL SERVICES L
Service
R:Y ~_ew
o Change 0 Temp
,--NII\-l
Type 0 Overhead
__nUndergrCJ.U nd_______J
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
i--
I
i
_______.,____._________..i
Use/Nature of iNURSING HOME / WIRING ELECTRiCACiJvORKTNNEWSTO-RAGE-R:CYOMANb OFFfCE-**6heck:it056-r-
Work I
i
J
Fees: Valuation $5,000.00
Issued By: (:yynS-
Plan Approval
$0.00
Permit Fee Paid
$128.00
Date 09/26/2007
D Permit Voided I
Parcelld # 0613640000
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
1100 ORVILLE DR
NEW LONDON WI 54961 - 9418
Telephone Number 920-531-1197
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, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084
RE
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OfHKOfH
ON THE WATER
SEP 2 6 Z007
DEPARTlViENT OF
COMMUNITY DEVELOPMENT
ELEClRUCCA<W Pl3RMrl'I~PPLICA TION
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 2()5 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 Svstem and have adequate funds. check here
if vou want this vrocessed through vour account 0
DATE 9-24-2007
JOB ADDRESS 815 S. Westhaven'briveo
OWNER SSM
CONTRACTOR Northland Electrical Services
CHECK ~ ALL APPLICABLE
USE CATEGORY
DSingle Family
SERVICE ONew
DChange
DDuplex
DMulti-Family
DRental
(Nursing home)
~Commercial DIndustrial
OTemporary
DNot Applicable
TYPE DOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH mE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches. #
Fixtures #
CHECK fi'J ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
OAlC
DOther
DDryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE Elect:d Cn] work in npw !':Torfl<]p room
ann office.
VALUE (Including labor and all materials including light fixtures) $ 5, 060. 00
~STER ELECTRICIAN i ~ cP>> J (tUK-- -ztf (PO; Lr ~ g-2-