HomeMy WebLinkAbout0151133 - Electric (repair violations, exit lights)E J
OSHKOSH
ON THE WATER
Job Address 100 E GRUENWALD AVE
Contractor DREXLER ELECTRIC
Inspector Adam Krause
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DANIEL L BUSH
Category 643 - Commercial- Addition /Remodels
Service New ❑ Change 0 Temp 0 N/— A
Volts 120 Circuits
Amps 20 Switches
Appliances I- -- --
Use /Nature of
Work
Fees: Valuation
Issued By: z
M
Type ❑ Overhead
No 151133
Create Date 07/10/2012
Plan
❑ Underground
Luminaires 6
Receptacles 6
D EXIT LIGHTS "check
00 Plan Approval _ $0.00 Permit Fee Paid $77.00
❑ Permit Voided
Date 07/10/2012
Parcel Id # 151537000(
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
Oshkosh, WI WI 54903-1130
Phone (920) 236 -5050 0
Fax (920) 236 -5084 O HKO H
ELECTRICAL PERMIT APPLICATIONR - D
All information after bold categories must be provided. JUL 9 202
Incomplete applications will not be processed.
DEPARTMENT OF
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection~ ffMbkt?P®M(& T
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees beliRiPd4�bIi
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 ❑
JOB ADDRESS.
Z`
OWNER 2e — L
CONTRACTOR iJX C6EC r72/
CHECK 0 ALL APPLICABLE
USE CATEGORY
DATE
Kue n c,ja l d -�
Mingle Family ❑Duplex ❑Multi- Family ❑Rental W—ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead [' ]Not Applicable
❑Change `oWot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /a"o / Receptacles # #
Phase
Amps Q- � Switches # Fixtures #
CHECK EI ALL APPLICABLE
❑Range ❑Dishwasher
❑Fan OR Blower ❑Furnace
❑Motors ❑Gas Pumps
❑Garbage Disposal ❑Dryer ❑Water Heater
❑A/C ❑Electric Sign
❑ Other
DESCRIPTION OF ALL WT BEING DONE
t � 1/�`a &tl77 otc(1 �sJ1 4 O y�
VALUE (Including labor and all materials includin ight f ures) $ C5u
MASTER ELECTRICIAN
3/02