HomeMy WebLinkAbout0133153-Electric (switches & outlets)CITY OF OSHKOSH No 133153
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1121 ALGOMA BLVD Owner CONG BNAI ISRAEL Create Date 09/26/2008
Contractor DRUCKS PLG & HTG CO., INC Category 643 -Commercial-Addition/Remodels Plan
Service New Q Change Q Temp ~ N/A Type Q Overhead Q Underground
Volts Circuits Luminaires 2
Amps Switches 2 Receptacles 2
Appliances
Use/Nature of
Work
Fees: Valuation $833.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: ,~i~~'~
Permit Voided
Date 09/26/2008
Parcel Id # 0507220000
In the pertomtance 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 licatio 'thin an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secu y nece ap r va efore starting such activity. /'~~
Signature Date ~~ ~ V
Agent/Owner
Address PO BOX 355 MENASHA WI 54952 - 355 Telephone Number (920) 722-2642
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 APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
01HK01H
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor narticiDating in the Permit Fee Account Svstem and have adequate funds check here
tf you want this processed through your account ^
DATE / ~ Z ~ "' ~~
JOB
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OWNER ~ ~ N t4 ( ~~ ~L.4 ~ ( (~_~12 c, A-~lcs ~
CONTRACTOR ~ V ~.(~
CHECK B ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change ^Not Applicable
^Rental ~mmercial ^Industrial
TYPE ^Overhead ^Not Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
CHECK Ef ALL APPLICABLE
^Range ^Dishwasher ^Garbage Disposal
^Fan OR Blower ^Furnace OA/C
^Motors ^Gas Pumps ^Other
Circuits #
Fixtures #
^Dryer ^Water Heater
^Electric Sign
~,/~ ~
DESCRIPTION OF ALL WORK BEING DONE / t' ~~- `j'Vv ~ '~~L. ~` i ~J~j''("Lc~ ~ ~'
VALUE (Including labor and all mat a clu 'ng light fixtures) $ V
MASTER ELECTRICL~N
3/02