HomeMy WebLinkAbout2012-Electric (remodel 3rd floor) CITY OF OSHKOSH No 151525
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1800 S KOELLER ST Owner MIDWEST HERITAGE INN OF OSHKOSH Create Date 08/03/2012
Contractor WITZKE ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits 9 Luminaires
Amps Switches _ Receptacles
Appliances
1
Use/Nature of COMM(FAIRFIELD INN)/REMODEL PART OF 3RD FLOOR-REPLACE LIGHTS-DEVICES-ADD SUB PANEL-SEP CIRCUIT
Work NEW **debit acct
Fees: Valua• n $,000.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: uJ Date 08/03/2012
❑ Permit Voided I Parcel Id# 1307440108
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 155 E PACKER AVE OSHKOSH WI 54901 -1659 Telephone Number (920)235-6572
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.
AUG. 1.2012 2:55PM WITZKE ELECTRIC
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City of Oshkosh
Division of Inspection Services'
P.O,Box 1130
Oshkosh,WI 54903-1130
0
Phone(920)236-5050
Fax (920)236-5084
ELECTRICAL PERMIT APPLICATION o THE WATER H
All information after bold categories mst be d,
Incomplete applications will not be processed,
• AppIication(s)and fee(s) can be brought to City Hall,Room 205 or mailed to Inspection Services,WI'54903-1128. Commencing work without es,PO Box 1128,
normal permit fee, which ever is pnzit(s) will result in fees being doubled or$100,00 plus the
OR greater.
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Cesseei t r0 i,�b ,o r CdCCO/r� stem a4. . _ •Y_• -le 1J71
JOB ADDRESS DATE E ,J /IN
OWNER • t . &
CONTRACTOR I IL....._ _ El -: 1 Ts -
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex OMulti-Family ClRental
SERVICE °New Commercial OIndustrial
dTemporary TYPE OOverhead
Change '` Tot Applicable fi1ot Applicable
°Underground
FILL IN THE APPROPRIATE BLANK WITH THE NT B
Volts c------
Phase Receptacles#
Circuits#
Amps Switches# G�
Fixtures# --.�
CHECK 2(ALL APPLICABLE
•
°Range °Dishwasher
°Garbage Disposal DDryer OWater Heater
OFan OR Blower °Furnace
QElectric Sign
'❑Motors DGas Pumps D0th er
- 3- .
DESCRIPTION OF ALL WORK BEING DONE
+ — - -
VALUE (Inc hdrng labor and all materials including light fixtures) ? =
._._._ ./ .or,•fcca....._ ...__„.________
MASTER ELECTRICIAN
3,4 Mi'4* F-4?-‘.
4 7 i'l — .
Received Time Aug. 1. 2012 2:48PM No. 0280
3/02