HomeMy WebLinkAbout0130637-Electric (plug mold)CITY OF OSHKOSH No 130637
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 315 ALGOMA BLVD Owner WIS BELL INC Create Date 06/13/2008
Contractor MICHELS POWER Category 643 -Commercial-Addition/Remodels Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead ~ Underground
Volts ', Circuits 10 Luminaires
Amps Switches Receptacles 60
Appliances
UselNature of T&T /Install plug mold receptacles for U-Verse office build out.
Work
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Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $111.00
Issued By: C^~%yy1l~ Date 06/17/2008
^ Permit Voided Parcel Id # 0101220000
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 1775 E SHADY LN NEENAH WI 54956 - 1155 Telephone Number (920) 720-5200 x 3122
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.
Oct 26 02 03:45p Oshkosh Inspections 920-236-5064 p.3
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084
\Z/
ELECTRICAL PERMIT APPLlCATiON
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 you are a contractor aarticioating in_the Permit Fee Account Svstem_and have adequate funds, check here
~vou want this processed through vour account ^
DATE ~" ~ ~" ~~
CHECK C( ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex I~Multi-Family
SERVICE DNew . OTemporary
17Change Not Applicable
~~~- 7ao - Say ~(
ORental Commercial ^Industrial
TYPE DOverhead DNot Applicable
DUnderground
FII,L IN THE APPROPRIATE BLANK WITH THE NUiyIBER
Volts / Receptacles # ~o O Circuits #
Phase -
Amps ~ Switches # ~ ~ Fixtures # 0
CHECK H ALL APPLICABLE
Range DDishwasher DGarbage Disposal DDryer ^Water Heater
OFan OR Blower DFurnace ^A/C DElectric Sign
^Motors DGas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE .~- n S a, l ~a hn.a [ ~, Y' eL.e~[ ~ ~ .
VALUE (Including labor and al! materials including light fixtures) ~ ~ ~ ®~ ~ ~ ~"
MASTER ELECTRICIAN ~~> C~a~/\. JUN 13 2008
DEPARTMENT OF
~~~ ~, ~. ~ COMMUNITY DEVELOPMENT 3/oz
INSPECTION SERVICES DIVISION
JOB ADDRESS ~ 15 (~owt_1L 1~~~.~-,bl..