HomeMy WebLinkAbout2011-Electric (sign) 0 CITY OF OSHKOSH No 144765
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1424 S MAIN ST Owner B KENT /EILEEN BAUMAN REV LIVING TRl Create Date 01/20/2011
Contractor GRASEE ELECTRIC, LLC Category 643 - Commercial - Addition /Remodels Plan
Service Q New 0 Change 0 Temp • N/A Type J Overhead Q Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of 'Ulti -Mart / Install new illuminated single -sided sign on the the west elevation (replaces smaller existing sign) and new 4'x6' changeable
Work copy on the west elevation per plan. Electrical Contractor is Grasee Electric. (UL #'s HA541654 & HA541659)
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: g'17 Date 01/27/2011
91 Permit Voided Parcel Id # 0304740100
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 L t . Q� Date I//'7 )
.1gent/Owner
Address N8902 CTY RD E RIPON WI 54971 - 9201 Telephone Number (920) 748 -6058
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
Division sion of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 Of HK01H
Fax (920) 236 -5084
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
/f you want this processed through your account ❑
DATE /).-77 / i
JOB ADDRESS ( `1 .1- S • tAP- A�
OWNER ■()t) t br I L, CO,
CONTRACTOR (,Q e :: aF��
CHECK IZI ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental f4Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead c®Not Applicable
❑Change Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK la ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer DWater Heater
❑Fan OR Blower ❑Furnace ❑A/C 43Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 'p(p.C6 - 1 - 1/Jb
Nob i .)1 RA n) r) On) L4 4; &r,)
VALUE (Including labor and all materials including light fixtures) $ jOb
MASTER ELECTRICIAN 1 2"3-7
3/02