HomeMy WebLinkAbout0144860-Electric CITY OF OSHKOSH No 144860
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1120 -1180 EMMERS LN Owner WESTOWNE NORTH PROPERTIES LLC Create Date 01/21/2011
Contractor CF POWER LLC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of COMM (1150 EMMERS LN) / INTERIOR ALTERATIONS FOR CHIROPRACTORS OFFICE * *check #6143
Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: 5Thi-Y-1 Date 02/10/2011
❑ Permit Voided Parcel Id # 1621530000
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 N7834 KONEN RD MT CALVARY WI 53057 - 9746 Telephone Number (920) 923 -3954
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
Fax (920) 236 -5084 JHKOJH
1 ` `J
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 throuzh your account ❑
/ DATE I`"d'
JOB ADDRESS l 15b 6716P - 6
OWNER C4166Totv ' 511oPS RECEIVED
CONTRACTOR e- F FEB -8 2011
CHECK El ALL APPLICABLE DEPARTMENT OF
COMMUNITY DEVELOPMENT
USE CATEGORY INSPECTION SERVICES DIVISION
❑Single Family ❑Duplex ❑Multi Family ❑Rental`ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK Q ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A /C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Io4.— ,
gC t- 'T qa.T 6 P, a Gf
VALUE (Including labor and all ? 3ancIud1tfixtures) $ /
MASTER ELECTRICIAN
3/02
81.00