HomeMy WebLinkAbout0144157-Electric (4 outside wall lights) 0 CITY OF OSHKOSH No 144157
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2251 WESTOWNE AVE Owner OSHKOSH PRO PARTNERS Create Date 11/17/2010
Contractor KAUFMAN ELECTRIC SHOP INC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires 4
Amps Switches Receptacles
Appliances
Use /Nature of Holiday Inn Express / Install 4 outside wall lights.
Work
Fees: Valuation $2,400.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: � Date 11/19/2010
❑ Permit Voided Parcel Id # 1 621 51 0400
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 W4145 LAUREL LN FOND DU LAC WI 54937 - 9391 Telephone Number (920) 921 -7979
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 1V��H
Fax (920) 236 -5084 Qf ff� � -IIK r I
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 ❑
DATE / / /C� i
JOB ADDRESS 2:2-5 ! we si-°L've ttufe
OWNER /70 //&c y ZA/A.l &p/2, Cs3 / 4 3 c-
CONTRACTOR Kaufman Electric Shop Inc.
W4145 Laurel Lan
Fond du Lac, WI 54937 -9391
CHECK BI ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑ Multi - Family ❑Rental ['Commercial [°Industrial
' SERVICE ❑New ❑Temporary TYPE ❑Overhead paint Applicable
❑Change \iot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase �(
Amps Switches # Fixtures #
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ,_2- /L ? Y o o age Wc( //
/A hts
VALUE (Including labor and all materials including light fixtures) $ 2— `" / O O
MASTER ELECTRICIAN 0d r
3/02