HomeMy WebLinkAbout0145320-Electric 0 CITY OF OSHKOSH No 145320
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 230 -250 N KOELLER ST Owner 1900 JACKSON STREET LLC Create Date 04/04/2011
Contractor FAITH TECHNOLOGIES, INC. Category 643 - Commercial- Addition /Remodels Plan
Service 10 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 1 Luminaires
Amps Switches Receptacles
Appliances water heater
Use /Nature of Smoothie Bar ( #246) / Electric conncection to a 10-gal 120V water heater.
Work
Fees: Valuation $100.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: C /J Date 04/04/2011
❑ Permit Voided Parcel Id # 0611510000
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 PO BOX 260 MENASHA WI 54952 - 260 Telephone Number (920) 751 -9807
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 54903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084
ON H /S ER
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 - " 11
JOB ADDRESS g Ttp N. Vol-1 L. 5 ,
OWNER SK YWN.E v JgN�tll_N c�v��
CONTRACTOR ¶ ti TELL- \lok -oG
CHECK ® ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi Family ❑Rental %Commercial ❑Industrial
SERVICE DNew ❑Temporary TYPE ❑Overhead NNot Applicable
❑Change NNot Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 Z / Receptacles # Circuits # /
Phase
Amps Switches # Fixtures #
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher OGarbage Disposal ❑Dryer Water Heater
:Wan OR Blower ❑Furnace ❑A /C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
l .L. T0.1CAL. 0 o t.* ECT% O W - rc 1 1,D GI 14 U .de 1 Zo V
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1VED
VALUE (Including labor and all materials including light fixtures) $ RIEc c `-
MASTER ELECTRICIAN \ t . , APR 4 2011
DEPARTMENT OF
COMM UNITY ION SER DEVELOPMENT
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