HomeMy WebLinkAbout0127428-Electric
G
OSHKOSH
ON THE WATER
Job Address 2800 N MAIN ST
CITY OF OSHKOSH
No
127428
ELECTRIC PERMIT - APPLICATION AND RECORD
PACKER AVENUE PROPERTIES LLC
Create Date 10/23/2007
Owner
Contractor
HULLAR ELECTRIC LLC
Category 657 - MISC.- OTHER THAN BUILDINGS
Plan
Service
o New
o Chang~ o Temp
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Type 0J2\1~0_ead _______.-0 LJ_~~9~()un<j_~___....1
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
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Use/Nature of ifl EMp.ORARY WiRING OF A JOB TRAILER
Work
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Fees: Valuat~..........,........ ~3,200.00
Issued By: ~
Plan Approval _.$0.00
Permit Fee Paid ~_.E11:..0.Q
Date 10/23/2007
O.'permit V.()id_~:U
Parcelld # 1519600301
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 sa appr b re starting such activity.
Signature
Date
Address
4932 W 9TH STREET RD
Agent/Owner
OSHKOSH
WI 54904 - 6530
Telephone Number {~20)~3~~~6~__._.
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
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ON THF WATFR
ELECTRICAL PERMIT APPLICATION
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 without permit(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 participating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account 0
DATE 10/2.)/0>
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JOB ADDRESS !2 ~oa
OWNER 1--1..:), h,.JA
CONTRACTOR fl..) 41"
A/ n",'n
Toe!.. )rr.. /
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CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
o Multi-Family
o Rental
~ercial
o Industrial
SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
o Motors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAlC
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE 7l"'-' P ()/'''jJ,''''I~
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t,..... I n 0 0.,... L -12.
Jr<;; 4~
MASTER ELECTRICIAN
VALUE (Including labor and all materials inel
3/02