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0142001-Electric
0 CITY OF OSHKOSH No 142001 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2300 STATE ROAD 44 Owner C E S A 6 Create Date 07/13/2010 Contractor FAITH TECHNOLOGIES, INC. Category 643 - Commercial- Addition /Remodels Plan Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground Volts Circuits Luminaires Amps Switches Receptacles 12 Appliances Use /Nature of CESA 6 / Install 12 floor boxes and receptacles in conference room. * *debit acct Work Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $94.00 Issued By: (/ Date 07/13/2010 ❑ Permit Voided Parcel Id # 1329000100 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address PO BOX 260 MENASHA WI 54952 - 260 Telephone Number (920) 751 -9807 To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. - 7/13/2010 8:55 Faith Technologies Imprint ID ❑ 2/2 :.� - ! Y' t0 �� �� - .. . ... ..- - - , ...... - .� -.. ; ;. ... - .:.:City of 4stikosli :' :.. ... .. :.,.. ..- - - - :' , ;- Division of Itis tlon:SeniiCe� -. . 1� - ...:.- - -. . "' I' d.:Boz:1130 .- - - ,_, _ ,..... : Oslikosli= :V�t,�4903 1130 . .- .. .. - -. -. ... . - ..:.: .::..: Pkorie' .92 :� . :- . - ...... . .� -. .. ...,.. .. -...- -:. ..- - - -. ...:.- -... .. . ;,- ,. - . ,. -. : -... -. :....... .... . .. -: ...:,.. -. -.. - -..:- ; - ..... - == ' �L� - C 'RI�At�` P��t1VirT AID P1.ICATICSN .:..: - � -' � �AII u�`otmation:after i�old:cat ''ones m>YSf b� rovrded ,- - - - - .. lnComplete appliGaf�dn§ w�ih not be:prbce sed - -.: - '. �; :;Applicaton(s).and �ee(s� can be brought to City Hall R+boiri 203�.or "marled to -Ins �ctio�iServices, �� �$oX.I 12$ -: - -. - ..... :.... P - -- Oshko §h �VI S�4g113 112$: "� Commencing v✓ork rv�thoiit:� "er rrif s ".vvitl result iif ferrs,bein d�ul�led�ot�;$il)O:OU. �1us the :; -. . .. ....- - - .. ,....�> p : normal permit fee;�whicli �rcater - .: - :, -.. :- OR= � - 1 -. ou ure a.:COntractor :art ci. n- thy �°.er�n t ,�� - �lcdauiit 5 "� M . - Tiwe ,�•'% ate:! u ==`c -•` kaiere :.' -:' -' ....... _ l .......... _ .. :: - u t ihrS:: r'ocessn . ..::.:.. ... : ......::... ................:.:.:.::.... ... . ...- .:,,..:.- . .. : . -... ;:: d. throe h ac.odunt :�.1.� :::::: ,:�..:. :.:::: :.- ........ .. . ' - -,. - - .:. - . ... - - .. -.. -. - - - :..,,' .. .. -- .SOB ADI'IRESS .:`��{� Q �>� � �� :. ,. :: -. ..- - ;: ..... - ..- .... . :... ( - .,. �,, ; - : CONTRACTOR �Q 1�i1. f ��Aj64� [D °�.:� ��.. - -. - - - .. ..� .:... -- .:: -- .. ;: -.: ;,. - " - : CH�E.CK ®AL>L �►PPYJICABLE ; - . ;= : .' ::.:: ,.. .. - - . . -USl✓ CATEGORY - - - - :..:, ..:..::: - -. .. - ;:fJSingle F`arijil� : -. C71�uplex -, �1Vlulti- Family ::: Rental - -: �dCorri Ytercial` ; CJ�n�ustrial:..�. ..SERVICE; LJNew ,�� �Tetn - o - - _ :.- : -.: -: � .. .....:..:...:......... .::.:. .:: .:...::..�:,......P: !�arY:.. : -. .;- :.;.:.:.:. �.. :..,.. ::.` CYPE,-a 7bverhead .::� :�.:� - A = licable� :�.�.:�- :....:.:, :...:�- : .. ::� - ... .. Change: �.: h�able - - : :- � - PP. - :L]I:Inlei`grourid . - .- - -,... : - --. -, � :- - � FTItL IN - -'THE ApP.ROPRIA'TE.IBLANY{�WTT:H:THE NUIVIBER; ::... .;- -... - . .: -. - . ::;`Volts: . -1. - -.� �` Recept��les #�' �:f�`..� : -, ... . Circuits.# % :: " . -. -' -' P ; - ....... _. Switches# . - . - -:: :- .F.UCEures # .: -.. .�, - ,.. :CHECK 61 A,[�� APPLICABLE --: � - ' �; - :.- . " ..QRange : :,' , :; flDishwasher: " -:. C7Garbage bisposal .- : - :L317�yer ;i : "CIWi1t�r H��ter -. CIFan-�12Blower ORum�ce� :�:.: - :. - -` ©A/C :ClElectnc - Sign - "C]IVlotors - ` � fl+Gas Pumps :' `;.: C]Other. %.DI�SCRIP' O `. ' _ .., - ` - . , - TT N ��.L r i�VORKBEING'.D(�NE �L} S-�t � �' �1 �J ��d�d l+' �`�' OX�°.S � �L�L`�.'�'1�AGr� S : -: :.:. - -, .. .. ... - ... - ....:..... .:... :.. ��- L'�yt a .,� � v'zs� �..: - .. . - . .... .:.. . ........: .. . :..:. - .. ... .. -. _. .,.. . ..... . �.. ;;.. ;;. -.. . .: - -..:: .... -... .- .. - -.. - -,.: . `! - L . .. .... - (bcluding.labor and ell mater�als fixtures) $ �.��.r: (�. � �e.� , ::-� �.`i'cL� ... . R ELECTI2ICIAIV �- .j���:��(,�+ : :. .. ��� , 4'. . , .. .- �K�Cr "wyt _.: ... : .. ,. .... .. .- . -. ....: . ,. -., .: ... .. - ... .:. ,.. .- - . .. ... , . . .� .. -.: .:. ..... _.: :.:. .. ........ .. _..: ......� - - -.... . ,.. . - 31.02.: -. . - .. .. _:: .. :Received Time�:Jul. 13 201 AM:N .. .:::. 0.: 8.54 o, 1.882.. .:.:.. ;:: ,;:.: -..