HomeMy WebLinkAbout0130182-Electric (repair conduit)CITY OF OSHKOSH No 130182
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 800 JOHN AVE Owner PINE MOUNTAIN INVESTMENTS LLC Create Date 05/28/2008
Contractor BULLSEYE ELECTRIC INC Category 634 -Residential-Service Change Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead (~ Underground
Volts 120 / 240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use/Nature of
Work
Fees: Val
Issued By:
^ Permit Voided
Date 05/28/2008
Parcelld # 0505150000
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 toto s~ny nec`c2~rova before starting such activity. ~. ~~1
Signature ~ Date
Address 2547 NEKIMI AVE
Agent/Owner
OSHKOSH WI 54902 - 8855 Telephone Number (920) 420-2400
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.
ENTRANCE CONDUIT &
Plan Approval $0.00 Permit Fee Paid $25.00
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
ON THE W/1TER
• 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 you are a contractor participatinc in the Permit Fee Account Svstem and have adequate funds, check here
if you want this processed through your account ^
DATE S . 01'7. ~
JOB ADDRESS ~ y~/i~ ~ '
OWNER i~~,uy~.ty ~,ae~~~rjrx~.uTS
CONTRACTOR r~LS~/~ C^~'C'T~~C
CHECK 0 ALL APPLICABLE
USE CATEGORY
B~Single Family ^Duplex ^Multi-Family Rental ^Commercial ^Industrial
SERVICE ^New ^Temporary TYPE .k7Overhead ^Not Applicable
^Change L~Tot Applicable ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts lao / a~La Receptacles # Circuits #
Phase / rS
Amps /oc Switches # Fixtures #
CHECK 0 ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
^Garbage Disposal ^Dryer ^Water Heater
^A/C ^Electric Sign
^Other
DESCRH'TION OF ALL WORK BEING DONE ~~-g9z'e FvTCA~~
~ouGls,..LT `w `t~:.r,1~yC ~E.e9.d ..
VALUE (Including labor snd all materials inclading light futures) $ ~~ • ~
0
MASTER ELECTRICIAN
3/02