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0132801-Electric
CITY OF OSHKOSH No 132801 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 535-551 HIGH AVE Owner HIWISCA LLC Create Date 09/04/2008 Contractor NICKEL ELECTRIC INC Category 643 -Commercial-Addition/Remodels Plan Service New Q Change Q Temp ~ N/A Type Q Overhead Q Underground _ ___j Volts Circuits _ Luminaires Amps Switches Receptacles Appliances Work ature of 43 High Ave /Tenant space buildout. *"check #24424, 24444 Fees: Valuation $8,800.00 Plan Approval $0.00 Permit Fee Paid $196.00 Issued By: Date 09/10/2008 ^ Permit Voided Parcelld # 0103330000 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 PO BOX 12267 GREEN BAY WI 54307 - 2267 Telephone Number (920) 498-1354 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. Mar 05 04 D2:40p Oshkosh Inspections 920-236-5084 p.3 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920)236-5050 Fax {920>z3s-soya ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O HKO H ON THE V/ATBR • Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh VPI 54903-1128. Commencing work wi#hout permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. . OR f you nre a contractor participating in the Permit Fee Account Svstetn and have adeauate funds. check kere ~vou want this processed through vour account ^ /~ J~ DATE o ~ a ~ ~ JOB ADDRESS- ~`7 J I / b~j ~ ~`~~ _ ,,>.:, , ,~ OWNER '°~ ~`} ~ CONTRACTOR /~~ c-i~'I ~~w~l'G ~c-. SEP O 4 2008 ~a0 - ~ eZ ~ 6 ~ ~ y DEp~~ ~'t`°~~i:tJ7~ D~ CHECK Q ALL APPLICABLE ~ COMMUN.tT~ ~; INSPE~~D~v S~_~VI ~LD~'P~FItiT USE CATEGORY `' Di °j ~ SIO(~ ^Single Family DDuplex DMulti-Family ^Rental ommercial ^Indusirial SERVICE L1New ^Tetr~porary TYPE DOverhead 1]Not Applicable ^Change ^Not Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles # Circuits #, Phase Amps Switches # Fixtures # CHECK ~ ALL APPLICABLE ^ ge DDishwasher an OR Blower DFurnace DMotors OGas Pumps DESCRIPTION OF ALL WORK BEING DGarbage Disposal DDryer ^Water Heater DA/C DElectric Sign ^Other VALUE (Including labor and all materials including light Cixtures) $ ~b ~©~~ MASTER ELECTRICIAN ~'~ G ~ ~' r°` ~ ~~y` y~/ ~r ~~ ?~ ~~ / /~ / ` 3/02 `/ /Vl1/rr . Q C~