HomeMy WebLinkAbout0151522 - Electric (new elevator controllers) 0 CITY OF OSHKOSH No 151522
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1 N MAIN ST _ Owner OSHKOSH INVESTORS LLC Create Date 08/03/2012
Contractor SUBURBAN ELECTRICAL ENGINEERIN1 Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A I Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Motors
Use/Nature of COMM/NEW ELEVATOR CONTROLLERS **check 56217
Work
Fees: Valuation 9,900.00 Plan Approval $0.00 Permit Fee Paid $363.00
Issued By: Date 08/03/2012
Permit Voided Parcel Id# 0100400000
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 709 N HICKORY FARM LN APPLETON WI 54914 -3032 Telephone Number (920)739-5156
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
WI
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfHKVf H
ON THE WATFR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account p
,�p DATE 171311 �Z
JOB ADDRESS I . I"l CO�} �fi•
OWNER
CONTRACTOR Su hu b a_r) -rl c
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Commercial ❑Industrial
SERVICE ❑New Temporary TYPE ❑Overhead ❑Not Applicable
❑Change of Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
K❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE /"r'41"1/ ei,4 - cc k0 l/2-r,5
VALUE(Including labor and all ma ials including light fixtures)$ 4q t q00-0
MASTER ELECTRICIAN
3/02