HomeMy WebLinkAbout0127394-Electric (Wiring/preparation)
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OSHKOSH
ON THE WATER
Job Address 210-240 W MURDOCK AVE
CITY OF OSHKOSH
No
127394
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
BRADLEY OPERATING L TO PARTNERSHII Create Date 10/22/2007
Contractor
VAN OFFEREN ELECTRIC LLC
Category
643 - Commercial-Addition/Remodels
---~~~-_. ----.-.----.-.-.....-----.---.-
Plan
Service
ONew 0 Change 0 Temp . N/A-----j
~-------------------------------_._-_._---------~
Circuits
Type Qg-",~b~a_d_____._ ..... .. _O_LJ_ ~C!~~9r()u"-cJ____ __ _ _....1
Volts
15
Luminaires
14
Amps
Switches 6
Receptacles 20
Appliances
Use/Nature of ~ace 230 (Papa Murphy's) / INSTALL 14 2X4 TROFFERS FOFCWHITE BOX, WIRE NEW L1GH,--ING~ROUGHIWA-NDFINTsR--
Work IPOWER FOR REQUIRED OUTLETS
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Fees: Valuation ?;400.00
Issued By: ~ --
Plan Approval $0.00
Permit Fee Paid __FJ~Q.Q
Date 10/22/2007
Permit Void~~J
Parcelld # 1518981100
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 ec~A a als before starting such activity.~ _ /
Signature ~ Date /t.~b?
"
Agent/Owner
Address N9165 JONSCH DR
APPLETON WI 54915 - 5681
Telephone Number (~20t 428-4160
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.
Oct. 19. 2007 8: 12 AM
inspect ion services
No. 5685 P. 5
City of Oshkosh
Division otr.nspection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone (920) 236-5050
Fax (920) 236-5084
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ELECTRICAL PERMIT APPLlCA liON
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Halt. 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 Of $100.00 plus the
norma! pennit fee; which ever is greater.
OR
Il you are a COn/radar (?articjp.9..tJ1'K i1l. thej!.fJ!.w.itfee Account System and have adequate funds check her~
,f,.. want this p,oc.mJ 'h,o.~h your acco.n' 0 . I . I
.' '. DATE /lJ/<:J,J, Ie) 7
d JfP W.- fJ1~&/, I I
/lI..v It
CONTRACTOR t/ tJvh orj'e/~
JOB ADDRESS
OWNER f(;&..
,'c.- .LL- C
CHECK !if ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex DMulti-Family
SERVICE ONew ~mporary
OChange /> .ot Applicable
FILL IN THE APPROPRIATE BLANK Wlm THE NUMBER
o Rental
~ommerCia) OIndustrial
DOverhead ~t Applicable
OUndcrground /_. .~
TYPE
Switches 1#
20
&
Cirnibl 1#
/5
Ii.{
Volts
Phase
Amps
I
Receptacles #
Fixtures '#
CHECK 2{ ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDishwasher
lJFurnace
OGas Pumps
DGarbage Disposal
OAlC
OOthcr
DDryer DWater I Ieater
DElectric Sign
1/'Dft/-S
V ALlJE (I....di.. I.bo, ,od ,II ....."". j"c10dIOgllg'r"""") L ~
MASTI;R ELECIlUCIAN 1'6 ~ .-:'
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