HomeMy WebLinkAbout0144371-Electric (new conveyor & wash press) 0 CITY OF OSHKOSH No 144371
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 11 BROAD ST Owner CITY OF OSHKOSH Create Date 12/10/2010
Contractor EXCELLENCE ELECTRIC Category 653 - Industrial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of Provide power and controls to a new conveyor and a wash press
Work
Fees: Valuat $32,600.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: x Jl` Date 12/14/2010
Permit Voided Parcel Id # 0800230000
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 1412 E MAIN ST LITTLE CHUTE WI 54140 - 2319 Telephone Number (920) 687 -2442
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.
EL City of Oshkosh R E � >°
Division of Inspection Services
P.O. Box 1130 DEC 0 2 2010
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 DEPARTMENT OF
Fax (920) 236 -5084 COMMUNITY DEVELOPMEN = � J <Of H
INSPFCTI ?N SFRVICFS DIMS
ot: ?N= 'NATFR
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 12/02/10
JOB ADDRESS 11 Broad St.
OWNER City of Oshkosh
CONTRACTOR Excellence Electric Inc.
CHECK Lf ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family DRental ❑Commercial ®"Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead RNot Applicable
❑Change Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits # 2
Phase
Amps Switches # Fixtures #
CHECK 0 ALL APPLICABLE
❑Range DDishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
DFan OR Blower ❑Furnace ❑A/C ❑Electric Sign
NIMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Provide power and controls to new conveyor and wash press
VALUE (Including labor and all erials including light fixtures) $ 32,600
MASTER ELECTRICIAN , i , A�
Excellence Electric Job number 9898
Per specification section 01060 - Regulatory Requirements - line 1.04, Owner will waive fees associated with the permit. 3/02