HomeMy WebLinkAbout0133681-Electric (provide power supply)CITY OF OSHKOSH No 133681
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2501 S OAKWOOD RD Owner Create Date 10/24/2008
Contractor EISCH ELECTRIC INC Category 641 -Commercial-New Service Plan
Service New ~ Change ~ Temp Q N/A Type ~ Overhead _ ~ Underground
Volts 120 / 240 Circuits Luminaires
Amps 30 Switches Receptacles
Appliances
Use/Nature of
Work
Fees: Val
Issued By:
acct
$700.00
Plan Approval $0.00 Permit Fee Paid $39.00
^ Permit Voided
Date 10/24/2008
Parcel Id #
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 PO BOX 621
Agent/Owner
NEENAH WI 54957 - 621
Telephone Number (920) 725-5080
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
OCT 2 2 2008
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
if you want this processed through your account
JOB ADDRESS J -(.~(~~"" ~ , ~~) ,~ t'1,C~ t~ U fi 1 )G~~.~(q.e r I~ U~~
OWNER ~( YY~Q G~GZ ('Vl ~ i~ ~~ ~ (,~.,
CONTRACTOR ~ l ~ [ ~ ~ (1 C"{-~ j C ~ ~('
CHECK E~1 ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
SERVICE ew ^Temporary
~ Change Not Applicable
DATE
^Rental `Commercial ^Industrial
TYPE ^Overhead Not Applicable
underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / ~ ~ ~ Receptacles #
Phase
GPs ?; ~~_ Switches #
CHECK E( ALL APPLICABLE
ORange ^Dishwasher ^Garbage Disposal
^Fan OR Blower ^Furnace pA/C
^Motors ^Gas Pumps ^Other ____
DESCRIPTION OF ALL WORK BEING D
o r la?0 jU //
J VALUE (Including labor and all materials including light fixtures) $ / tJ ~ ~ (.~ ~~
a.,
MASTER ELECTRICIAN ~ {~ If` ~ ~ - S (~'')
Circuits #
Fixtures ~#
^Dryer ^Water Heater
^Electric Sign
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