HomeMy WebLinkAbout0146349-Electric (service, lights & sign) CITY OF OSHKOSH No 146349
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 485 MARION RD Owner CITY OF OSHKOSH Create Date 06/14/2011
Contractor STIEGLER COMPANY INC Category 657 - MISC.- OTHER THAN BUILDINGS Plan
Inspector Kevin Benner
Service New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground
Volts 120 / 208 Circuits 7 Luminaires 49
Amps 400 Switches 1 Receptacles 19
Appliances
Use /Nature of TO INCLUDE NEW SERVICE, EXTERIOR LIGHITNG FOR RIVERWALK AND FOR (1) SIGN * *check #48914
Work
Fees: Valuati $200,000.00 Plan Approval $0.00 Permit Fee Paid $813.00
Issued By: Date 06/14/2011
0 Permit Voided Parcel Id #
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 3644 GREEN BAY WI 54303 - 3644 Telephone Number (920) 494 -0224
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 OII A\OJH
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 particioatinf in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ❑
SS AI DATE l /3 hi
JOB ADDRESS F fl I(rl on I2&z*i 2U r''cA3�SC�
OWNER
CONTRACTOR h
CHECK ® ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi Family ❑Rental `'Commercial ❑Industrial
SERVICE - New ❑Temporary TYPE ❑Overhead Not Applicable
❑Change ❑Not Applicable fitUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120/ avg Receptacles # ig Circuits # /
Phase � it
Amps Switches # / Fixtures #
CHECK 10 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal . ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C RElectric Sign
❑Motors ❑Gas Pumps ❑Other
Dp OF ALL WORK BEING DONE !. ± t 4 ` O O("
' St VII II )0 /.t3ir'r`� • d`
VALUE (Including labor and all terials incl g light fixtures) $ 000,DM 4
MASTER ELECTRICIAN
3/02
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