HomeMy WebLinkAbout2010-Electric (toilet rooms) (1) CITY OF OSHKOSH No 144457
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 12/27/2010
Contractor WITZKE ELECTRIC INC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires 2
Amps Switches 2 Receptacles
Appliances 2 -Fan or blower
Use /Nature of COMM (D-40) / ROUGH IN 2 TOILET ROOMS FOR YANKEE CANDLE * *debit acct
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: C�� Date 12/27/2010
❑ Permit Voided Parcel Id # 1329420000
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 102 OSHKOSH WI 54903 - 102 Telephone Number (920) 235 -6572
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.
DEC.22.2010 2 :01PM WITZKE ELECTRIC N0.056 P.1
City of Oshkosh
Division of Inspection Services
P.O. Box 1130 •
Oshkosh, WI 54903 -1130
eeD
Phone (920) 2364050
Fax (920) 236 -5084 I� Q .�
MR 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 permits) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater,
OR
ou
- - • = 1 - - - ' - - - a to the Pe , , ' - - - ' -« •.•_c , • _ • • _ - _It . _.L• _,_ here
ifjou_want this processed through your account gi
DATE i Wd -e /h .
JOB ADDRESS 30o1 S • WasAburn b - D
OWNER OW //t nr
CONTRACTOR V 6 fake.) El e rlc o .
CHECK 21 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental ,IComrnercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE Overhead ❑Not Applicable
❑Change DNot Applicable Catinderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase -
Amps Switches # 0 Fixtures #
•
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑C}arbage Disposal Dryer ❑Water Heater
,(Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps i Other '
DESCRIPTION OF ALL WORK BEING DONE nu i A 1k -MI / I- /
A,. 0 - . S2r_ A, *bier cal ii . -
VALUE (Including labor and all materials including light fixtures) S .5 06
MASTER ELECTRICIAN ,.c rs cDe ht/ ,
42
Received Time Dec. 22. 2010 2:02PM No. 4155 • 2/02