HomeMy WebLinkAbout0143794-Electric ID CITY OF OSHKOSH No 143794
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 711 S WASHBURN ST Owner CITY OF OSHKOSH Create Date 10/22/2010
Contractor FAITH TECHNOLOGIES, INC. Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead 0 Underground
Volts 120 / 208 Circuits 6 Luminaires 19
Amps Switches 19 Receptacles 19
Appliances
Use /Nature of COMM (FIRE STATION #16) / INTERIOR REMODEL
Work
Fees: Valuation $1,065.91 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: '6Ysigr-- Date 10/22/2010
❑ Permit Voided 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 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.
City of Oshkosh
Division of Inspection Services
P.O. Box WI 1130
5
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084
ON H WA F
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
OR
nermal permit fcc, wkieh ever-is- greater. ...........
1 are a c,n r• o , a ti iia in i e Ace, it , em an hav 'de unds check here
ifyou want this processed through your account ❑
DATE k 1% -1 h
JOB ADDRESS ,1 l W S N &) C,
OWNER (IT'S O F O S IJO<O S F t
CONTRACTOR H T N O`t,oc l�
CHECK la ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi- Family :Rental OCommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead blot Applicable
❑Change l Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts t 20 / ZO S Receptacles # C l Circuits #
Phase 3 Q o
Amps Switches # } 1 Fixtures # \ 1
CHECK ® ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace DA/C ❑Electric Sign
❑Motors 'Was Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ IC) 65. 7 /
MASTER ELECTRICIAN 2� 1��I1�). y'� IU (4Oc�el
RECEIVED
OCT 2 2 2010 3/02
FEE 77 DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION