HomeMy WebLinkAbout2011-Electric 0 CITY OF OSHKOSH No 145224
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 606 E MURDOCK AVE Owner MUZA METAL PRODUCTS LLC Create Date 03/22/2011
Contractor TEAM SERVICES INC Category 653 - Industrial- Addition /Remodels Plan
Service 0 New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 10 Luminaires 14
Amps Switches 6 Receptacles 20
Appliances
Use /Nature of Wiring for office addition.
Work
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By:/ Date 03/22/2011
❑ Permit Voided Parcel Id # 1519310000
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 2602 AMERICAN DR APPLETON WI 54914 - 9010 Telephone Number (920) 738 -5885
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (Le. 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
1130
il
Phone (920) 236 -5050
Fax (920) 236 -5084 O1— `
ON THE WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
T `7 ( 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 *silt
JOB ADDRESS ( �o t',a 1111 r au" V1 P1'1 LI
OWNER MA � [�tl �(T REC1-
CONTRACTOR rXV 1('P S MAR 2 2 2011
DEPARTMENT OF
CHECK E ALL APPLICABLE COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family DRental ❑Commercial industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead I&Not Applicable
❑Change Ilot Applicable ❑Underground /
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # ip Circuits # /
Phase
Amps Switches # tor Fixtures # /9'
CHECK E ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal DDryer DWater Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
DMotors DGas Pumps DOther
DESCRIPTION �` '
OF ALL WORK BEING DONE "ZS( : L'Ivii s' S 1 /c s ce.,,
/ �1
VALUE (Including labor and all materials including light fixtures) $ .2/5-00 .2/5-00 / _ i-�
MASTER ELECTRICIAN ____ _ qt
3/02