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HomeMy WebLinkAbout2011-Electric (service change) 0 - CITY OF OSHKOSH No 145251 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 03/25/2011 Contractor SHOWERS LLC Category 644 - Commercial - Service Change Plan Service 0 New • Change 0 Temp 0 N/A Type 0 Overhead 0 Underground Volts 120 / 208 , Circuits Luminaires Amps 200 k Switches Receptacles Appliances Use /Nature of COMM (D240) / UPGRADE THE POWER FEEDER TO THE TENANT SPACE FROM 100A -200A Work li Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $94.00 Issued By: ( Date 03/25/2011 El Permit Voided 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 t is permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and cur any ssa royals before starting such activity. Signature a p� t'D Date ZQ vwi' v Agent/Owner VI Address 2575 GA LIGH CT OSHKOSH WI 54904 - 7309 Telephone Number (920) 252 -2929 R S , ? t 4.L 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 /(41 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 Of HKOf H 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 25 20 JOB ADDRESS - ) 1 aS h by r n D 2-40 OWNER \ eft. CY \ a : ��el S CONTRACTOR ho (niI (S .1-1--c- CHECK Ei ALL APPLICABLE USE CATEGORY ❑Single Family ❑Duplex ❑Multi - Family ❑Rental 'ommercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead Clot Applicable L Change ❑Not Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts 120 / 20E3 Receptacles # Circuits # Phase .3 0 Amps 2_00 Switches # Fixtures # CHECK FZf ALL APPLICABLE D Range ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater ❑ Fan OR Blower ❑Furnace ❑A/C DElectric Sign ❑ Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE V, rA n 1 oa�p zcVic 2 2c 14 p,.' J od , VALUE (Including labor an 1 al aterials in ding light fixtures) $ 2/ O i MASTER ELECTRICIAN, : , _7 it .■ 111. 3/02