HomeMy WebLinkAbout0134036-ElectricCITY OF OSHKOSH No 134036
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1226 OSHKOSH AVE Owner CHRISTOPHER NIKOLAI/ALLAN VANDERb Create Date 11/17/2008
Contractor ELITE ELECTRICAL SERVICES LLC Category 643 -Commercial-Addition/Remodels Plan
Service New ~ Change ~ Temp ~ N/A Type ~ Overhead ~ Underground _ _ J
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of ~'avern /Wire new entry, add 1 outside GFI and 3
Work
Fees: Valuation /yy~ ~, $600.00 Plan Approval $0.00 Permit Fee Paid $32.00
Issued By: ~~~" ~ ' ~~/
Permit Voided
Date 11/17/2008
Parcelld # 1600360000
In the performance of this work I agree to pertorm 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 pertorm the work
described in this permit application within a easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any ne s ary a p vats before starting such activity.
Signature Date
Address PO BOX 108
AgentlOwner
GREENVILLE WI 54942 - 108 Telephone Number (920) 540-0956
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.
O.lHKOlH
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 participating in the Permit Fee Account Svstem and have ade ua ate funds check here
zf you want this processed through your account ^
DATE ~ l l 7 4 b
JOB ADDRESS I a' ~v D Sr2 ko s h 1~~ t
OWNER- C,, ~1,r~'S /~~~ ~ r ,(
CONTRACTOR- t-r-r~ ~l , ~P ~ I e~ ~c+, L
CHECK El ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental Commercial ^Industrial
SERVICE ^New ^ emporary TYPE ^Overhead JZ~1Vot Applicable
^Change~Not Applicable ^Underground /
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK Ef ALL APPLICABLE
^Range ^Dishwasher ^Garbage Disposal ^Dryer ^Water Heater
OFan OR Blower ^Furnace ^A/C ^Electric Sign
^Motors ^Gas Pumps Other
DESCRIPTION OF ALL WORK BEING DONE `v ~'n~' c ~e..l ~ ~ ~ r+ a ,~ (~a ,r a ol'o~
l o vfs ~~ 6Gz' (L 4K~ 3 KP~PSSP~T C.~s .
/ d
VALUE (Including labor and all materials including li/ght fixtures) $ lp Od .~
MASTER ELECTRICIAN ~ ~ Ss P ~e~p ~ s p ~v
302