HomeMy WebLinkAbout0133590-Electric (waiting room remodel)CITY OF OSHKOSH No 133590
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 136 JACKSON ST Owner PABST LLC Create Date 10/20/2008
Contractor SECKAR ELECTRIC CO INC Category 643 -Commercial-Addition/Remodels Plan
Service New 0 Change ~ Temp ~ N/A Type ~ Overhead (~ Underground ~
Volts Circuits Luminaires 9
Amps Switches 3 Receptacles
Appliances
Use/Nature of W office /waiting room remodel. **debit acct -
Work
J
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: ~/y~~~o Date 10/20/2008
^ Permit Voided ~ Parcel id # 0101960000
In the pertormance 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
Agent/Owner
Address 5920 COURTNEY PLUMMER RD WINNECONNE WI 54986 - 9728 Telephone Number (920)_582-4909
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.
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01HKO.IH
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 want this Drocessed through your account
DATE OcT- ~. ZOO Sc'
JOB ADDRESS_ lJlo V~l-c~0 ~
OWNER SL M I~()A~ pI' C7 Pie `l`7 ~ S
CONTRACTOR S~LIc~-- ~~~Z-`(')2 ( L
CHECK H ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
SERVICE ^New ^Temporary
^Change Not Applicable
^Rental Commercial ^Industrial
TYPE ^Overhead ~ot Applicable
^Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ,
Phase
Amps
CHECK H ALL APPLICABLE
^Range ^Dishwasher
^Fan OR Blower ^Furnace
^Motors ^Gas Pumps
Circuits #
Fixtures #~_
^Dryer ^Water Heater
^Electric Sign
DESCRIPTION OF ALL WORK BEING DONE j~i1 1 TfN6 ~DOM IP.L'lI~IOD~L
VALUE (Including labor and all materials including light fixtures) $ (~Q ~• OCR
MASTER ELECTRICIAN ~~'1l) K S~G~I~-
Receptacles #
Switches # .~
^Garbage Disposal
^A/C
^Other
3/02