HomeMy WebLinkAbout0143528-Electric (wall sign) CITY OF OSHKOSH No 143528
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3355 JACKSON ST Owner ROBIN RF OSHKOSH LLC Create Date 09/14/2010
Contractor FAITH TECHNOLOGIES, INC. Category 643 - Commercial- Addition /Remodels Plan
Service 0 New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of Comm/ Wall sign* Hook up 2 signs & lettering on building.
Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: aY/"l7■0/ Date 10/08/2010
El Permit Voided I Parcel Id # 1250180000
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.
9eb # avRo$5
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
( F1c)
Phone (920) 236 -5050
Fax (920) 236-5084
O��sGL. N T HFF WA R
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 participatinz in the Permit Fee Account System and have adequate funds% check here
if you want this Arscessed through your account
DATE /U
JOB ADDRESS (n� 65 Ja�esoo �f
OWNER l' 40144 P) 12/
CONTRACTOR 6414 're 0/1/0/0 t S
CHECK ® ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duple ❑Multi Family ORental ❑Commercial ❑Industrial
SERVICE ❑New ❑Te porary TYPE ❑Overhead ❑Not Applicable
['Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIAT BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK El ALL APPLICAB E
❑Range ❑Dish asher GGarbage Disposal IIDr ❑Water Heater
❑Fan OR Blower OFurna e ['A/C lectric Sign
❑Motors ❑Gas "umps ❑Other
DESCRIPTION OF ALL WO' BEING DONE J/ok (a) 51`1,5 /e^ ' v NCf
DJ/1 hut` n - 9
VALUE (Including labor and all materials including light fixtures) $ / SO Pr) re e ' 77,60
MASTER ELECTRICIAN / ' ' e • z GN l
3/02