HomeMy WebLinkAbout0141775-Electric (temporary) C .) CITY OF OSHKOSH No 141775
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 551 - 569 OAK ST Owner KURT KOEPPLER Create Date 06/28/2010
Contractor SCHOMMER ELECTRICAL CONTRACTII Category 640 - Commercial- Temporary Service Plan
Service 0 New 0 Change • Temp 0 N/A Type • Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
Use /Nature of New 4 -unit Multifamily / Temporary Service.
Work
Fees: Valuation $250.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: 1"J'-' Date 06/29/2010
❑ Permit Voided I Parcel Id # 1102990000
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
Agent/Owner
Address N164 TWO MILE RD APPLETON WI 54914 - 9121 Telephone Number (920) 731 -2299
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 OJHKOJH 1
ON THE WATER f
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 are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account 0
DATE 06/28/10
JOB ADDRESS 569 Oak Street
OWNER DB Curtiss
CONTRACTOR SEC, Inc.
CHECK El ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ®Multi- Family ❑Rental ❑Commercial ❑Industrial
SERVICE [New ®Temporary TYPE ®Overhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120 / 240 Receptacles # Circuits # •
Phase single
Amps 100 Switches #
Fixtures #
CHECK El ALL APPLICABLE
[Mange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
°Fan OR Blower ❑Furnace DA/C ['Electric Sign
OMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE install a temporary service
R EC€WED
JUN 2 9 2010
VALUE (Including labor and all terials including li ht fixtures) $ 250.00 REPA DEV 7" O F
COMMUNITY DEVELOPMENT
// INSPECTION S E RV IC E S DIVISION
MASTER ELECTRICIAN _ ' % di
Robert A. Schommer