HomeMy WebLinkAbout0145375-Electric (misc. interior) CITY OF OSHKOSH No 145375
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 233 N CAMPBELL RD Owner CITY OF OSHKOSH SEWAGE PLANT Create Date 04/07/2011
Contractor BRIGHT STAR ELECTRICAL SERVICES Category 643 - Commercial- Addition /Remodels Plan
Service p New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of Power and signal for new DEOX analyzer, new temperater probe wiring, new power and signal for chlorine sensors with warning lights.
Work
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: 4'7C2 Date 04/07/2011
❑ Permit Voided Parcel Id # 0609680000
In the performance of this , ork I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshko has no - thority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit - • • Iicatio hin n easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure - ecess- a provals before starting such activity.
Signature fAi Date
Agent/Owner
Address 1309 cSHKOSH AVE OSHKOSH WI 54902 - 2632 Telephone Number (920) 232 -8047
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 WI 54903-1130
Phone (920) 236 -5050
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 f nds, check here
if you want this processed through your account ❑ L` �
DATE 7
JOB ADDRESS (9 3 Al Ca kyke,
OWNER C5 Kos 1i .) d s / . 4.14 t Y' "rf 11 e 7 ' , 9 / f-
CONTRACTOR i t3 I'l �l Str � e �, S 2rkk'- 5 L L C
CHECK BI ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial Industrial
SERVICE DNew ❑Temporary TYPE ❑Overhead ANot Applicable
❑Change ATot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK IN ALL APPLICABLE
❑ Range DDishwasher ❑Garbage Disposal ❑Dryer El Water Heater
❑ Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE — / CiJ er a( 5;.0 Am.. / ) !r ,(/N
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i
� e w f uue r 6; Ina- 1 ,c c l 5 s w;"Ii -Av
W a- 1th)1,. ■
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VALUE (Including labor and all materia i luding lig fixt res) COQ p CO
I
MASTER ELECTRICIAN 1 —
3/02