HomeMy WebLinkAbout2011-Electric (addn to #144984) 0 CITY OF OSHKOSH No 145564
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 04/21/2011
Contractor JIM'S POWER Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of COMM (JOCKEY - E40) / ADDITIONAL WORK FOR PERMIT #144984, INSTALL 2 RECEPTACLES AND 4 EMERGENCY LIGHTS
Work
Fees: Valuation � $800.00 Plan Approval $0.00 Permit Fee Paid $17.00
` \I '
Issued By: (,, -� ^Y� Date 04/21/2011
ri 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 this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to se any n sary approvals before starting such activity.
Signature y Date ! /�
Agent/Owner
Address 1125 N OWAISSA ST APPLETON WI 54911 - 5128 Telephone Number (920) 427 -2214
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
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236-5084 OfHKOJH
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
ifyou want this processed through your account ❑ X . - l DATE e2/- //
JOB ADDRESS 3v CO / 5 3h i00r `��
OWNER je,c 4 E I
CONTRACTOR 0 -" s C
CHECK IZI ALL APPLICABLE
USE CATEGORY
❑ Single Family ❑Duplex ❑Multi - Family ❑Rental edeommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE El Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # l_ Circuits #
Phase /
Amps Switches # Fixtures # ! fen- L� `
CHECK Bf ALL APPLICABLE
❑ Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑ Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
ad d i h`vn Pe/ I y qc (
VALUE (Including labor and all mat a' includi lig 77(-.
fix ures) $
MASTER ELECTRICIAN
3/02