HomeMy WebLinkAbout0142472-Electric 0 CITY OF OSHKOSH No 142472
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2490 ENTERPRISE DR Owner BROS LLC Create Date 08/09/2010
Contractor VAN OFFEREN ELECTRIC LLC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New O Change Q Temp 0 N/A Type O Overhead _0 Underground
Volts Circuits Luminaires 6
Amps Switches Receptacles 15
Appliances — —
pp .Dryer Receptacle _ -- -
Use /Nature of Additon of recetacles for cubicals and a Dryer rec. Relamp & ballast 2x4 troffers
Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 08/09/2010
❑ Permit Voided Parcel Id # 1329400101
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 n easement, the City strongly urges the permit applicant to contact the easement
hlder(s) and to r any rlecessary provals before starting such activity.
Signature / /�
Date G
Agent/Owner
Address N9165 JONSCH DR APPLETON WI 54915 - 5681 Telephone Number (920) 428 -4160
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 WI 5
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 Of HKOf H
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 ❑
C� 4--'14- DATE 7 /5/ °
JOB ADDRESS c2 6 0 /u
OWNER
CONTRACTOR EA-et t O -rte �l {G ✓'�
CHECK ALL APPLICABLE
USE CATEGORY `,
❑ Single Family ❑Duplex ❑Multi - Family ❑Rental Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead Not Applicable
❑Change , TTot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK WI ALL APPLICABLE
DRange ❑Dishwasher ❑Garbage Disposal ❑Dryer El Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other /
ESCRIPTION OF A L W I RK B ING D • NE J pfr,// --0 ] C ub
VALUE (Including labor and all materials including light fixtures) $ ` 6-6° d-NEA--1
MASTER ELECTRICIAN 101 ..�I as' lf'
3/02