HomeMy WebLinkAbout2011-Electric l CITY OF OSHKOSH No 145102
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1910 -1964 S KOELLER ST Owner MARLIN OSHKOSH II LLC Create Date 03/09/2011
Contractor DISHER ELECTRIC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 10 Luminaires 50
Amps Switches 4 Receptacles 16
Appliances
Use /Nature of COMM ( GNC) / LIGHTING AND GENERAL OUTLETS
Work
rga�i
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: YA6 Date 03/09/2011
❑ Permit Voided Parcel Id # 1307440100
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 7691 MERRYLAND DR ROSHOLT WI 54473 - 9510 Telephone Number (715) 592 -6107
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 ( "411\ .)
Fax (920) 236-5084 OJHKOJH
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 ❑
DATE 3-9-11
JOB ADDRESS 1 azrr � rya
OWNER n At-
CONTRACTOR hLS 46.e._
CHECK IN ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental oCommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead VINot Applicable
DChange plot Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # 1 f Circuits # 1D
Phase
Amps Switches # Fixtures # 50
CHECK IN ALL APPLICABLE
❑ Range ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑ Fan OR Blower DFurnace ❑A/C DElectric Sign
❑ Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE kt(A'i J - CE i4L
VALUE (Including labor and all materials including light fixtures) $ 3000
MASTER ELECTRICIAN 8,56 61co
3/02