HomeMy WebLinkAbout2011-Electric I4 CITY OF OSHKOSH No 145205
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 03/21/2011
Contractor P &J KAMPO ELECTRIC INC Category 643 - Commercial- Addition /Remodels Plan
Service New 0 Change 0 Temp 0 N/A Type 0 Overhead 0 Underground
Volts 208 / 120 Circuits 32 Luminaires 100
Amps 200 Switches 20 Receptacles 25
Appliances NC, Water Heater
Use /Nature of COMM (E50 - COACH) / INTERIOR REMODEL FOR NEW TENANT **check #11485
Work
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $213.00
Issued By: 5)1 Date 03/21/2011
❑ Permit Voided I Parcel Id # 1329420000
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 50 PHEASANT CT APPLETON WI 54915 - 4527 Telephone Number (920) 730 -8556
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 RE
Division of Inspection Services
P.O. Box 1130 MAR 21 2011
( 4111I )
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 DEPARI MENT OF
Fax (920) 236 -5084 COMMUNITY DEVELOPMENT MT=
INSPECTION SERVICES DIVISION 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 - / 8 - I/
JOB ADDRESS :OOt S. W a.4 1urr. fk■JG 51,466 L --O SO
OWNER Couch ` T : - Nom. .,.Iders
CONTRACTOR P3" K awl, 0 CLvr4rtc_ _',,,...
CHECK EZ1 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi Family ❑Rental ArCommercial ❑Industrial
SERVICE .®New ❑Temporary TYPE ❑Overhead ONot Applicable
DChange ONot Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts R09 / /9.O Receptacles # a 5 Circuits # 3
Phase 3
Amps oZ oO Switches # c2 O Fixtures # / 0
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer . Water Heater
❑Fan OR Blower OFurnace ,®'A/C ❑Electric Sign
OMotors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE New Ccc4 . e._
VALUE (Including labor and all materials including light fixtures) $ /0 00O . G'U °,
MASTER ELECTRICIAN Pal s 7 7 4.--
3/02