HomeMy WebLinkAbout0142046-Electric (wire additional space) (1) CITY OF OSHKOSH No 142046
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 200 D CITY CENTER Owner BAYSHORE DEVELOPMENT II LLC Create Date 07/15/2010
Contractor SCHOMMER ELECTRICAL CONTRACTII 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
Appliances
Use /Nature of Caramel Crisp / Wire additional space.
Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 07/15/2010
Permit Voided Parcel Id # 0100600101
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 O1HKCJH
ON THE WATFR
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 07/14/10
JOB ADDRESS 200D City Center / Caramel Crisp & Cafe
OWNER Bayshore Development
CONTRACTOR SEC, Inc.
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental ®Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE wire addit space
VALUE (Including labor and all rials including ' t res) $ 1, 200.00 / Fee $77.00
MASTER ELECTRICIAN 64/Z!
Ro er A. Schommer
3/02