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0143910-Electric (new car hoists)
CITY OF OSHKOSH No 143910 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1850 S KOELLER ST Owner ROBERT J /SUSANN M HOWARD Create Date 11/02/2010 Contractor TEAM SERVICES INC Category 643 - Commercial- Addition /Remodels Plan Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground Volts 208 Circuits 4 Luminaires Amps Switches Receptacles Appliances Use /Nature of Tires Plus / P & 14 disconnects and wiring for new car hoists. Work Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $77.00 Issued By: 0,11 -40 Date 11/02/2010 ❑ Permit Voided Parcel Id # 1307440107 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 2602 AMERICAN DR APPLETON WI 54914 - 9010 Telephone Number (920) 738 -5885 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 Oshkosh, WI WI 54903-1130 54903 -1130 *iv) Phone (920) 236 -5050 Fax (920) 236-5084 �✓ � , KO/ H ©N THE WATER ELECTRICAL PERMIT APPLICATION 15\ 1 ,0T l . - 7/ _ () I T L All information after bold categories must be provided. p 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 ❑ p 1 DATE — D JOB ADDRESS 1850 5D J Ii ll PIS �Y 138 A OWNER \ i f CS ' PLUS NOV 0 2 2010 CONTRACTOR 1 earn 5r U i Ce.S Inc_ _ DEPAR1 MtNT OF COMMUNITY DEVELOPMENT CHECK 0 ALL APPLICABLE INSPECTION SERVICES DIVISION USE CATEGORY ❑ Single Family ❑Duplex ❑Multi - Family ❑Rental XCommercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead Not Applicable ❑Change XNot Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts /i 4"// Receptacles # Circuits # 9 Phase / Amps 40 7 04 Switches # Fixtures # CHECK 0 ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A /C ❑Electric Sign M otors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE P# 47 ,se„ ,,�„.. Q . .-- -J 0.� a_ n VALUE (Including labor and all materials including light fixtures) $ 4,,1/2) — MASTER ELECTRICIAN 72 3/02