HomeMy WebLinkAbout0127421-Electric (gate operators)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
127421
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
233 N CAMPBELL RD
Owner
CITY OF OSHKOSH SEWAGE PLANT
Create Date 10/23/2007
-----~-_._--"-- .
Contractor
VAN ERT ELECTRIC CO INC
~._------_._--~----,.~-_._---------
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Category 653- -'l1clu_s!~c:t!-Mc:I!t!()_n/g~l11ocl~ls_ _______
Plan
Service
Type
O_().\f~E~~_a-'L___ _____ _____O_lJndergrourl-"____
Volts
120
Circuits
Luminaires
Amps
Switches
Receptacles
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I
I
!
Appliances
ie-operator
l
Use/Nature of I'INDUSTRIAL (WWTP) /INSTALL 3 ELECTRICALLY O-PERATEDGATEOp-ERA:r;O-RS------------H-- ---
Work
I
i
i
_______J
Fees: valua~~ $35.000_00
Issued By:
Plan Approval ~$O.OO
Permit Fee Paid _____$O.Q..Q
Date 10/23/2007
D Permit Voided i
_____...____m___.___'____ ..____---!
Parcelld # 0609680000
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
2000 PROGRESS WAY
KAUKUANA WI 54130 - 9562
Telephone Number 920-766-3888
462-14~
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
I
(f)
OfHKOfH
ON THE WATER
OCT 22 2007
DEPARTI1/1EI\lT OF
ELECTRI cAr;.oP!R~~~~t~~TlCj N
All informatioJ~ft6fbJtPSafei~ri~s musf-M:lprovided. .
Incomplete applications will not be processed.
· AppIication(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 $l'OO.OO plus'
.normal permit fee, which ever is greater. .
OR
[(YOU are a contractor partie/patinE! in the Permit Fee Account System and have adequate funds. check h,
/(YOU want this lJrocessed through your account 0
/(J --If ~/) 7
DATE
JO~ ADDRESS ~ 3 $lJ~ . ~ d h)l~ ell RtltiJ ({;JdJTP.)'
~=~t1 01 J!:t::/1Pu~ ..
CHECK It[ ALL APPLICABLE
USE CATEGORY
DSingle Family
SERVICE DNew
DChange
DDuplex
. DMulti-Family
o Rental
OCommercial . }5fudustrial
OTemporary
ONot Applicable
TYPE OOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts-
Phase
Amps
Receptacles # 3
Circuits #3
SwitcJtes #
Fixtures #
CHECK It[ ALL APPLICABLE
ORange DDishwasher OGarbage Disposal DI>ryer DWater Heater
OFan OR Blower OFurnace ON. C '. -J,,_'. /A . DID.ectric $ign
o Motors DGas Pumps DOther _ 6:.~ (I ~ ~ .
D.)E~m:~OFALL~~~}jJ~~?"D.? OP.. ~ . .
~~(3j ~Th~ d:fS)~ ~Q~
. . .
MASTER ELECTRICIAN
Y E -Ii
-.Jcb~
VALUE (Including labor and all materials including light fixtures) $ 3.5 J b1f1)
.
~ S~,,tp4 .
12trmtJ rll $ -3 / $l~ &V
r;:; () I/.,A
.
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