HomeMy WebLinkAbout0144637-Electric CITY OF OSHKOSH No 144637
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 141 HIGH AVE Owner KLRR INC Create Date 01/13/2011
Contractor SCHAFER ELECTRIC INC Category 643 - Commercial- 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 COMM / REPLACE WIRING DUE TO FIRE DAMAGE * *check #13714
Work
Fees: Valuation / $750.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: Date 01/13/2011
❑ Permit Voided I Parcel Id # 0101040000
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 6364 COUNTY ROAD A NEENAH WI 54956 - 9717 Telephone Number (920) 725 -2031
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 or Oshkosh
• Division of Inspection Services
C
Box 1130
Oshkosh, WI 54903-1130
Phone 236-5050
Fax (920) 236-5084 0-1HKO/H
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• ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed. JAN 1 3 2011
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to hispectionIeritiPe PO .
Oshkosh WI 54903 Commencing work without permit(s) will result in fees bei4Oubfrid or,SI00 pus
normal permit fee, which ever is greater.
OR. •
e P erm i1Feeccou FR I Svstent and havegdequaLejitnds,check here
if you want this processed through.your account
• A.TE_Lni -/_/.
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JOB ADDRESS / / .414414... A14
OWNER -
CONTRACTOR_____
• • CHECK iiiALL APPLICABLE
. • USE CATEGORY
[Mingle Family • Maple/ 0MuIti OR.exital r2 .(2irnmercial IDIndamtrial
•SERVICE [New EITemporary TYPE (1:Overhead pgivt Applicable
IDICliange f2tgot Applicable 01.inderground
• FILL IN THE APPROPRIATE BLANK WIfl TILE NUMBER
• Voits 1 Receptacles It _ • Circuits
rime
• Amps Switches # Fixtures #
•
•
CHECK ALL APPLICABLE
CIRange DDishwasher OGarbage Disposal DDryer liWater Healer
OFan OR Blower CIFurnace OAIC CIElectric Sign
['Motors OGas Purrips • DI Other
DESCRIPTION OF ALL WORK BEING DONE _dett.L.
• • •
VALUE (Including labor and all materials including light fixtures) S /PTO 1PP $9 0 .41,
MASTER ELECTMCLAN
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3/02
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