HomeMy WebLinkAbout0131502-Electric~i CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
No 131502
Job Address 1585 S OAKWOOD RD Owner LIVING WATER LUTHERAN CHURCH OSH Create Date 07/14/2008
Contractor VAN ERT ELECTRIC CO INC i Category 642 -Commercial-New Building Wiring _ Plan
Service New ~ Change ~ Temp ' 0 N/A Type ~ Overhead ~ Underground
Volts 120 / 208 ', Circuits 30 Luminaires 80
Amps 800 ', Switches 25 Receptacles 80
Appliances
Use/Nature of
Work
Fees: Val
Issued By:
#3396
Plan Approval $0.00 Permit Fee Paid $432.00
Date 07/14/2008
^ Permit Voided
Parcel Id # 1352500000
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
Address 2000 PROGRESS WAY
Agent/Owner
KAUKUANA WI 54130 - 9562
Telephone Number (920) 766-3888
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.
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 APPLICATIaN
All information after hold categories must be provided.
Incomplete applications will not be processed.
~H~H
ON THE WATER
• 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 $1.00.00 plus
normal permit fee, which ever is greater.
OR !,
If you are a contractor aarticinating in the Permit Fee Account Svstem and have adequate funds check h,
if you want this processed throu~vour account ^
DATE ~ l~d(crd
CHECK B1 ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
SERVICE.,~iew ^Temporary
^Change. ^Not Applicable,
^Rental ~1Commercial ^Industrial
TYPE ^Overhead ^Not Applicable
~tTnderground
FILL IN THE APPROPRIATE BLANK WITH THE N[TMBER
Volts / /•a0
Phase _
Amps ~
CHECK Q( ALL APPLICABLE
Receptacles # . C1
Switc)ies #_~
Circuits # `~~
Flxtures # 0
^Range ^Dishwasher i ^Garbage Disposal ^Dryer ^Water Heater
^Fan OR Blower ^Furnace ^A/C ^Electric Sign
^Motors ^Gas Pumps' ^Other
I - -
DESCRIPTION OF ALL WORK BEING DONE ~~rC JAI ~ C~,"l.(,(
VALUE (Including labor and all materials including light fixtures) $ ~`~>~ `w
MASTER ELECTRICIA~1
~~
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JOB ADDRESS /~5 ~, .GCI~ ~ .