HomeMy WebLinkAbout0146111-Electric CITY OF OSHKOSH No 146111
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 495 W WAUKAU AVE Owner TOLLROGE PROPERTIES LLC Create Date 05/31/2011
Contractor DREXLER ELECTRIC Category 643 - Commercial- Addition /Remodels Plan
Inspector Kevin Benner
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 20 Luminaires 30
Amps Switches 12 Receptacles 40
Appliances
Use /Nature of Fox Valley Metrology / Interior remodel. Add receptacles, circuits, switches, fixtures and wire HVAC.
Work
Fees: Valuation $15,800.00 Plan Approval $0.00 Permit Fee Paid $249.00
Issued By: Date 05/31/2011
El Permit Voided I Parcel Id # 1413620101
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 490 COUNTY ROAD FF PICKETT WI 54964 - 9513 Telephone Number (920) 589 -6700
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 1Jav &adeQuate funds. ch y.7
if you want this processed throu'h your account 0
p DATE ,5 - Z S - ((
JOB ADDRESS I /95 -
! 3 14 4
/ V ' (� � U)c �
OWNER 3/L/,97� ( 7, I . - 9 6 X 4 4 1/R. eza toy 1/
CONTRACTOR X [ L irl I;(..ra. lG LL G.
CHECK El ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family (Mental 7kommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead 19Not Applicable
❑Change blot Applicable ❑Underground pp
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /}v / a-Y() Receptacles # 4/D Circuits # Z
Phase j—
Amps 'Fa Switches # l Z Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer yaWater Heater
Fan OR Blower )nFumace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE '/ dna - 0 1
l r /�u✓r g YlXrv✓LLe s ci✓l/G4,5 71/1,49
VALUE (Including labor and all mate 'a s including light fixtures) $ 80 o R E I V E D
MASTER ELECTRICIAN MAY 2 7 2011
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
3/02
66 a 3 4 ' a? 4 79 0 d