HomeMy WebLinkAbout0131499-Electric (exterior lighting)CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER '
Job Address 1581 W SOUTH PARK AVE
Contractor GROVER ELECTRIC
Service New Q Change
Volts
Amps
Appliances
Use/Nature of
Work
Fees: Val
Issued By:
Temp ~ N/A Type
i
Circuits
~~
Switches
No 131499
Owner SHREE RADHE SITYAM CORP Create Date 07/14/2008
Category 643 -Commercial-Addition/Remodels Plan
Q Overhead Q Underground_
Luminaires
Receatacles
^ Permit Voided
Date 07/14/2008
Parcelld # 1323080000
In the pertormance of this work I agree to pertorm 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) an ta-secure any necessary approval fore'starting such activity.
Signature --°-~•~~.--~~~- Date / "-~ ~ d~
~.
Agent/Owner
Address 1650 S OAKWOOD RD
WI 54904 - 8347 Telephone Number (920) 379-7259
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.
~n~ _ ` $515.00 Plan Approval $0.00 Permit Fee Paid $32.00
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
01HKOf H
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
I
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1.128. 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 participating in the Permit Fee Account System and have adequate funds check here
if you want this processed through your'account ^
DATE ~ (~^~~
i i ,
JOB ADDRESS / ~~ ` s ~`~ fi~ ~`~~
CONTRACTOR ~c9 y"C/ ~ (-c ~ f-v ~
CHECK ®ALL APPLICABLE II '
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental ®Commercial ^Industrial
SERVICE ^New ^Temporary !, TYPE ^Overhead ^Not Applicable
^Change ^Not Applicable ', ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts f ~ ~ / ~--~ ~ Receptacles #
Phase
Amps Switches #
CHECK ~ ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
^Garbage Disposal
^A/C
^Other
Circuits #
Fixtures #
^Dryer ^Water Heater
^Electric Sign
DESCRIPTION OLL WORK BEING
C a n ~ .~ ' +~c v r• ~f~ ~ .r...a.e
VALUE (Including labor and
MASTER ELECTRI
/ C~ ~V
including light fixtures) $ ~/ S ~-
3/02