HomeMy WebLinkAbout0131930-Electric (misc. wiring)/~ CITY OF OSHKOSH No 131930
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2145-2155 S KOELLER ST Owner ROGAN STORES OSHKOSH LLC Create Date 07/24/2008
Contractor DELTA ELECTRIC Category 643 -Commercial-Addition/Remodels Plan
Service New Q Change ~ Temp ~ N/A Type ~ Overhead ~ Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of
Work
a tenant space for a Tent Sale "'*check
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: ~~~
^ Permit Voided
Date 07/30/2008
Parcelld # 1323100404
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 2319 EATON LN
Agent/Owner
RACINE WI 53404 - 1725 Telephone Number 262-632-5955
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
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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
/f you are a contractor narticinating in the__Permit Fee Account Svstem and have adequate funds. check here
if you want this processed through your account ^
..,,
DATE i ~
~ .~ ~ ~ ~ ,
i
JUL 2 8 2008
CHECK 0 ALL APPLICABLE t~EE l~r~ "'~ltl`~ ~~~
USE CATEGORY ; iPJSl~tt i It~;i` `-.,t,i ")_ 71(?1a
^Single Family ^Duplex ^Multi-Family ^Rental Commercial ^Industrial
SERVICE ^New ^Temporary li TYPE ^Overhead Ct~laTot Applicable
^Change Tot Applicable !i ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #_
Phase
Amps Switches # Fixtures #
CHECK D ALL APPLICABLE
VALUE (Including labor and all mate Is including lig xtures) $ ~~~a ~ • Q d
MASTER ELECTRICIAN ~.~. ~
3/02
^Range ^Dishwasher ^Garbage Disposal ^Dryer ^Water Heater
^Fan OR Blower ^Furnace ^A/C ^Electric Sign
^Motors ^Gas Pumps ^Other