HomeMy WebLinkAbout0151456 - Electric (new tentant build out) (19 CITY OF OSHKOSH No 151456
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2006-2020 JACKSON ST Owner 2020 JACKSON STREET LLC Create Date 08/01/2012
Contractor HULLAR ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service O New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 15 Luminaires 26
Amps Switches 6 Receptacles 20
Appliances Furnace,A/C,Electric Sign,Water Heater
Use/Nature of COMM(2006-VERIZON)/NEW TENANT BUILD OUT 'check#3099
Work
Fees: Valuation $ ,200.00 Plan Approval $0.00 Permit Fee Paid $196.00
Issued By: a Date 08/01/2012
❑ Permit Voided Parcel Id# 1514819800
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 nece �g►approval beorre,starting such activity.
Signature Date 8 '-1 ^J
( Agent/Owner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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
(4111111)
Phone(920)236-5050
Fax (920)236-5084 OJHKOIH
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
if you want this processed through your account ❑
DATE g -/ �/ Z
JOB ADDRESS 2 3 063 c c j, 1/1r, i! (NJ �n 41V - u e
OWNER j/ Y
CONTRACTOR t //�+r F 1��.,f f, c
CHECK ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead .iJ t Applicable
❑Change l Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# .2. 0 Circuits# fsc
Phase
Amps Switches# Fixtures# 2;(,
CHECK IZI ALL APPLICABLE ��
ORange ❑Di washer ❑G rbage Disposal ❑D er ` Water Heater
❑Fan OR Blower urnace ❑A/C G3'Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE ...4an!"t6trimM610,17
CJiZ�f ✓✓i/i �
fur
t l� w � I'✓
VALUE (Including labor and all materials including l' ht fixtures) $ 82 03
MASTER ELECTRICIAN
3/02