HomeMy WebLinkAbout0141996-Electric (1) CITY OF OSHKOSH No 141996
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2300 STATE ROAD 44 Owner C E S A 6 Create Date 07/09/2010
Contractor HIPKE ELECTRIC LLC Category 643 - Commercial- Addition /Remodels Plan
Service 10 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches 2 Receptacles 5
Appliances
Use /Nature of COMM/ CESA 6/ Add receptacles in new partition walls for new conference room and office.
Work
Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00
Issued By: a.,112„0 Date 07/13/2010
❑ Permit Voided Parcel Id # 1329000100
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 cure any necessity app :Is, b fore starting such activity.
Signature /„ 4/
Date 7 ' 1 _ id
Agent/Owner
Address 3418 WOODHAVEN CT APPLETON WI 54913 - 7906 Telephone Number (920) 850 -1713
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 OfHKOJH
ON THE WATER
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account ,_System and have adequate funds, check here
if you want this processed through your account ❑
DATE 7- /3- -2t1/
JOB ADDRESS 2 3D' S, /e 140_9
OWNER (_ S et 6
CONTRACTOR fi i/ At gedri 1.1
CHECK RI ALL APPLICABLE
USE CATEGORY
DSingle Family ❑Duplex ❑Multi - Family ❑Rental C ommercial ❑Industrial
• SERVICE ❑New ❑Temporary TYPE ❑Overhead 1 Not Applicable
❑Change allot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK Ei ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C ❑Electric Sign
❑Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING D9NE X6 !" CC tylet C /{$
eui a r` / /`// a
VALUE (Including labor and all m erials including light fixtures) 9
MASTER ELECTRICIAN Gt7y7Lt 7 1.,
3/02