HomeMy WebLinkAbout0144959-Electric (exhaust hood & make up air) 0 CITY OF OSHKOSH No 144959
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1990 MENARD DR Owner RJDGAD LLC Create Date 02/22/2011
Contractor FOLSKE ELECTRICAL SERVICES LLC 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 Brat Stop / Wire exhaust hood and make -up air.
Work
Fees: Valuati • .e $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00
4 � Issued By: Date 02/22/2011
❑ Permit Voided Parcel Id # 1308500600
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 t s ure any ne s ary approvals b ore starting such activity. Z Signature Date _ 1
Agent/Owner
Address 4285 RIPPLE AVE OSHKOSH WI 54904 - 6868 Telephone Number (920) 303 -0545
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
Oshkosh, WI WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084 OfHKOfH
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 through your account ❑
a(�/� ,D, . DATE 2- 7,7 -
JOB ADDRESS I / `V ^ / l /
OWNER 1 UN VIM Le,C� f1 — e 2c-{- 5 1 OF
CONTRACTOR /S 4 7Q �- -hr,'Cc / seax e�
CHECK lZi ALL APPLICABLE
USE CATEGORY
❑ Single Family ❑Duplex ❑Multi - Family ❑Rental commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change Cot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK 11/1 ALL APPLICABLE
❑Range DDishwasher ❑Garbage Disposal DDryer DWater Heater
❑ Fan OR Blower ❑Furnace DA/C DElectric Sign
❑ Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
W ; 2 kau -- I1.u5 Cl � m c..10 - u ? R;2_ -)
VALUE (Including labor and all materials including light fixtures) $ 2000,
MASTER ELECTRICIAN E /l� e 4=J4it
3/02