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HomeMy WebLinkAbout0133838-Electric (traffic signal controller)CITY OF OSHKOSH No 133838 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 906 OHIO ST Owner DONALD E BASLER REV TRUST Create Date 11/05/2008 Contractor BEACON ELECTRIC LLC Category 657 - MISC: OTHER THAN BUILDINGS Plan Service New Q Change Q Temp Q N/A ~ Type Q Ovefiead ~ Underground Volts 120/240 Circuits Luminaires Amps 400 Switches Receptacles Appliances Use/Nature of Work Fees: Valuation Issued By: Plan Approval $0.00 Permit Fee Paid $0.00 ^ Permit Voided) Date 11 /05/2008 Parcelld # 1300020000 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 starling such activity. Signature Date Address 4988 COUNTY ROAD JJ AgenUOwner GREEN BAY WI 54311 -9463 Telephone Number (920) 371-8333 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. GN HF W/~TFR • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to (nspection Services, PO Box 1 128, Oshkosh WI 54903-1.I28. 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 vour account ( ~ DATE / ~~9~c>l~ JOB ADDRESS S /~ ~' ~~ ~/E' ~ ~ OWNER~~~Y' off' Ds~/.Casrs/ _ ~~''~' E~QQo~v "'L ~T,~~c LG C _c~~ ~ ~ ~ CONTRACTOR ~' G-" ~` Cali C>tC H AI.L AP ~ 0 ~ V PLICABLE ~r ~ ~ ~, USE CATEGORY ^Single Family ODuplex ~Mu1ti~Family ^Rental ^Commereial ^Industrial SERVICE New ^Temporary TYPE ^~ verhead ^Not Applicable DChange ^Not Applicable l~Underground FILL YN TIDE APPROPRIATE BLAND WITXI TFIF NU_ Volts /~ / ~~ Receptacles # Circuits #~ Phase Amps ~ Switches # Fixtures # CHECK d AL]<, APPLICAB>t,E ^Range 017ishwasher OGarbage bisposal ^Dryer ^Watar Heater ^Fan OR Blower l7Furnace DA/C Electric Sign OMotors ^Cras Pumps Other ~gf~/G ~iC,y~r~~ DESCRIPT]lON OF ALL'UVORI~ BEING DONE ~~~/s~qL L ~,c~,vTi~o~ G ~/L 'VALUE (including labor and all materials Including light ti~ctares) $. ~ DO_ .~ d- MASTER ELECTR>{CIAN 3/~ TO 3JCd ti~ld~ 9p~:7,F.9RR7.~ 7.T:~T ~aa~ic~iar Electric Permit Work Card Job Address 906 OHIO ST Permit Number 0 Create Date 11/5/2008 Owner DONALD E BASLER REV TRUST Contractor BEACON ELECTRIC LLC Service New Q ChangeQ Temp Q N/A Type Q Overhead ~ Underground Q N/AJ Volts 120/2.4_0 Circuits Luminaires Amps 400 Switches Receptacles Value $2,800.00 Use/Nature 57 -MISC.- OTHER THAN BUILDINGS Traffic Signal Controller of Work Date 10!31!2008 Type Underground Inspector Adam Krause _ approved rounding - Date/Time requested: 10!31/2008 00:00 00 Notice Type: Ready Date/Time: 10/31!2008 12:51 PM Access: Requested by: _ _ Phone Number: Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid --------------------------------------- ----------------------------------------------- -------------- ------------------------------------ -- Date 11/04/2008 Type Inspector Kevin Benner CN Deeded to locate the service to issue the permit Date/Time requested: 11/04/2008 12:52 PM Notice Type: Ready Date/Time: 11/04/2008 12:52 PM Access: Requested by: BEACON ELECTRIC LLC Phone Number: Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid Electric Permit Work Card Job Address 906 OHIO ST Permit Number 133838 Create Date 1_1/5/2008 Owner DONALD E BASLER REV TRUST Contractor BEACON ELECTRIC LLC Service New Q Change Q Temp Q N/A ~ Type Q Overhead ~ Underground Q N/A_ Volts 120!240 Circuits Luminaires Value $2,800.00 Amps 400 Switches Receptacles - --- Use/Nature 57 -MISC.- OTHER THAN BUILDINGS Traffic Signal Controller of Work mspeciwns: Date 10/31/2008 _ Type Underground Inspector Adam Krause _ approved Date/Time requested: 10/31/2008 00:00 00 Access: Requested by: Phone Number: Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid ----------------------------------------------------------------------------------------------- ---------------- Date 11/04/2008 Type Inspector Kevin Benner _ CN eeded to locate the service to issue the permit - Date/Time requested: 11/04/2008 12:52 PM Notice Type: _ Ready Date/Time: 11/04/2008 12:52 PM Access: Requested by: BEACON ELECTRIC LLC Phone Number: __ -_. Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid ----------------------------------------------------------------------------------------------------- -- ----- --- ----------------------------------- Date 11/10/2008 Type Service Inspector Kevin Benner approved --- _ _.._ equest line /Inspect traffic signal axed to WPS 11/10/8 Date/Time requested: 11 /06/2008 10:06 AM Notice Type: Ready DatelTime: 11/06/2_0_08.10:06 AM Access: _ - __ --- Requested by: BEACON ELECTRIC LLC -Bill Phone Number: Q Reinspect Fee Q Fee Wavied ^ Reinspect Fee Paid Notice Type: Ready Date/Time: 10/31/2008 12:51 PM