HomeMy WebLinkAbout0134215-Electric (heater)CITY OF OSHKOSH No 134215
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2211 OREGON ST Owner COYOTE OF WISCONSIN LLC Create Date 12/01/2008
Contractor SCRAPER ELECTRIC INC Category 643 -Commercial-Addition/Remodels Plan
Service New ~ Change (~ Temp ~ N/A Type 0 Overhead _ _ _ ~ Underground
Volts Circuits 1 Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of ~OMM (Unit "Z") / INST
Work
,Y
#12821
Fees: Valuation $650.00 Plan Approval $0.00 Permit Fee Paid $39.00
Issued By: Date 12/01/2008
Permit Voided Parcel Id # 1410280000
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 ny ne pprovals before starting such activity.
Signature C~~ Date ~j7^ /"-0
Address 6364 COUNTY ROAD A
Agent/Owner
NEENAH WI 54956 - 9717 Telephone Number (920) 725-2031
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.
, ~ • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to lnspection 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.
if you want this processed through Your account
DATE /~ ~/- D ~
JOB ADDRESS a a ~ 1 z. ~~~, ~-~=
OWNER - ~iaG~~i L-~•/~.+~- • .
CONTRACTOR ,~ v ~.~~~ /I?L `
CHECK Q ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
SERVICE ^New OTemporary
^Change Ja'Not Applicable
^Rental ,0~ommercial ^Industrial
TYPE ^Overhead „~Ot Applicable
^LTnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /
Phase
Amps
CHECK H ALL APPLICABLE
C1Range ~ ^Dishwasher
^Fan OR Blower. ^Furnace
Motors ^Gas Pumps
DESCRIPTION OF ALL WORK BEING
O1HKO~
ON THE W/1TER
Circuits #~__
Firiit res #
^Garbage Disposal ^Dryer ^Water Heater
^A/C ~ ClElectric Sign
^Other
,~,~,t. # 3 S. ro
VALUE (Including labor and all materials including light fixtures) $ GSD ~°"~
MASTER ELECTRICIAN (/Y.C~ ~~
Receptacles #
Switches #
3/02