HomeMy WebLinkAbout0133907-ElectricCITY OF OSHKOSH No 133907
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 300-350 N KOELLER ST Owner EROS LLC Create Date 11/05/2008
Contractor ABEC ELECTRIC Category 643 -Commercial-AdditionlRemodels Plan
Service New _ _Q Change Q Temp ~ N/A _ ~ Type Q Ovefiead Q Underground j
Volts 120 / 240 Circuits 20 Luminaires 30
Amps 200 Switches 15 Receptacles 20
Appliances
Use/Nature of
Work
or Blower, Dishwasher, A/C, Electric Sign, Water Heater
N Kceller -
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $111.00
;~,~ - _ __
Issued By: ~~i ~ 1 ~j- Date 11/10/2008
Permit Voided) Parcel id # 1608701100
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 W8256 GRAND VIEW RD
Agent/Owner
HORTONVILLE WI 54944 - 9769
Telephone Number (920) 779-0088
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.
L
o1HKO1H
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
Ifyou are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ^
DATE /C 6 ~~
JOB ADDRESS ~~ d b~,`~ ~C~~e,~
OWNER ~~ ~ti~ ~ s ~yS~/~~
CONTRACTOR_ _ ~~~/ ee_
CHECK H ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental ~lCommercial ^Industrial
SERVICE ^New ^Temporary TYPE ^Overhead ,~.1Vot Applicable
^Change ^Not Applicable ^Underground /
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /;~ ~' / ~2 y d Receptacles # ~ Circuits # ~~
Phase
Amps {~,~ ~'~ ` Switches # / ~ Fixtures # 3
CHECK Lf ALL APPLICABLE
^Range Dishwasher
an OR Blower ^Furnace
Motors ^Gas Pumps
DESCRIPTION OF ALL WORK BEING
^Garbage Disposal ^Dryer )~iWater Heater
~A/C .Electric Sign
^Other
~k
+fs ~ ~l~
VALUE (Including labor and all materials in~ludi~g lig t ~fxtures) $ ~C~~G~
,- ~ f~, ~
MASTER ELECTRICIAN _= ~ .~ . °, ,- ~~ ~°°~
3/02