HomeMy WebLinkAbout0127436-Electric (exhaust fans)
G
OSHKOSH
ON THE WATER
Job Address 3355 JACKSON ST
CITY OF OSHKOSH
No
127436
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
RAR INVESTMENTS LLC
Create Date 10/23/2007
Service
~F f~\f\{ER_LLC_d______m___ Category
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Circuits
643 - Commercial-Addition/Remodels
Plan
Contractor
Type QQ~~head_~_________Q_l,JQ_d~9'(~un<L____j
Volts
Luminaires
Amps
Switches
Receptacles
Appliances
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Use/Nature of ,Racette Ford / Re-work exhaust fans.
Work
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Plan Approval
$0.00
Permit Fee Paid
$77.00
Fees: Valuation
Issued By:
Date 10/23/2007
D Permit Voided'
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Parcelld # 1250180000
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 permi~ application wit 'n an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sure an necessa ppr Is before starting such activity.
Address
Date iO'-4J,-01--
Signature
Agent/Owner
_ ________~_Lc::A~VARY _ VI!L~~~qz_ - 974L Telephone Number t~?Q2.~~~.:~95..4_____
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.
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OJI-KOJH
ON THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 10 -dJ -aT
JOB ADDRESS A<y'JSJ),-f;"SJ;,.J
OWNER flirt.. ~TT E Ii>ru:>
CONTRACTOR (. f. Pf>>~ 1FQ..
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL ~MERC~ INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE
OVERHEAD
UNDERGROUND
NOT APPLICABLE
NO. OF FIXTURES
SWITCHES
RECEPTACLES
CIRCUITS
/
PHASE
AMPS
VOLTS
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWER
FURNACE
AjC_
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE
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· Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including lab
als including light fixtures) $
Jqd-.S.OD
.
MASTER ELECTRICIAN
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