HomeMy WebLinkAbout0132538-ElectricCITY OF OSHKOSH No 132538
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 404-410 S KOELLER ST Owner RIVER VALLEY ONE LLC Create Date 08/27/2008
Contractor SUBURBAN ELECTRICAL ENGINEERING Category 643 -Commercial-Addition/Remodels Plan
Service New ~ Change 0 Temp ~ N/A Type ~ Overhead ~ Underground j
Volts Circuits 20 Luminaires 10
Amps Switches 3 Receptacles 55
Appliances
UselNature of
Work
or Blower
OMM (404 -Aspen Dental) /DENTAL OFFICE BUILD OUT "*check #41881 ~
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Fees: Valuation $11,750.00 Plan Approval $0.00 Permit Fee Paid $223.50
Issued By: ~ ~ Date 08/27/2008
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Permit Voided ~ Parcel Id # 0611630100
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
AgenUOwner
Address 709 N HICKORY FARM LN APPLETON WI 54914 - 3032 Telephone Number (920) 739-5156
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 APPLICATIC~~ 2 7 2008
All information after bold categories must be provided.
Incomplete applications will not be processed. DEPARTMENT OF
COMMUNITY DEVELCiPP~~lENT
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mai~~str`2~~~i`e~~~k~~0~x 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
I~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 d " ~ ~`l~
JOB ADDRESS ~ ~~ S K U~ II L°,l~
OWNER ~ ~Y'' ~~Yl >~ i..~
CONTRACTOR c~l ~~ t~J 1~~~~
CHECK Q ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental '+~ommercial ^Industrial
SERVICE ^New ^Temporary TYPE ^Overhead ^Not Applicable
^Change ^Not Applicable ^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / '~
Phase
Amps
CHECK l?f ALL APPLICABLE
Receptacles # ~ C~
Switches #
Circuits #
Fixtures # ~ (J
^Range ^Dishwasher ^Garbage Disposal ^Dryer ^Water Heater
Fan OR Blower ^Furnace ^A/C ^Electric Sign
Motors ^Gas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE ®en+~ . ~ l'J1"~ ~, t? a I hI 1 ~•
VALUE (Including labor and all materials including light 1`ixtures)
MASTER ELECTRICIAN
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3/02