HomeMy WebLinkAbout2010-Electric (welding equipment) (9 CITY OF OSHKOSH No 143773
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 4200 POBEREZNY RD Owner GRS, LLC Create Date 10/22/2010
Contractor SUBURBAN ELECTRICAL ENGINEERINI Category 642 - Commercial -New Building Wiring Plan
Service 0 New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts 277/480 Circuits 125 Luminaires
Amps Switches Receptacles 125
Appliances
Use /Nature of FVTC / Wire welding lab equipment connections.
Work
Fees: Valuation $91,650.00 Plan Approval $0.00 Permit Fee Paid $489.00
Issued B y : 0 Date 10/22/2010
❑ Permit Voided I Parcel Id #
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 709 N HICKORY FARM LN APPLETON WI 54914 - 3032 Telephone Number (920) 739 -5156
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 1I _
Fax (920)236 -5084 ,`
• H WA -
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 /U" WO
JOB ADDRESS 1 12 becen2 R E E
C VED
OWNER FN1C. OCT 2 2 2010
CONTRACTOR SU�u� ban E I i .Q �
DEPARTMENT OF
COMMUNITY DEVELOPMENT
CHECK Q ALL APPLICABLE 4;;4u1 d,,,t,,,X„ INSPECTION SERVICES DIVISION
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental 51Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead 14Not Applicable
❑Change ,iot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts a1'1 /'6 Receptacles # 1 eD S Circuits # \ a5
Phase
Amps Switches # b Fixtures #
CHECK Q ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other (1
DESCRIPTION OF ALL WORK BEING DONE hkl��I IQ'�Cbre�-lon S
ts-C Q fip-N.
VALUE (Including labor and all materials including light fixtures) $ `11AO SO , W
MASTER ELECTRICIAN
N A
3/02