HomeMy WebLinkAbout0151550 - Electric (new rooftop AC) (1)1CITY OF OSHKOSH No 151550
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2329 JACKSON ST Owner ARLENE M HIBSCH Create Date 08/06/2012
Contractor KAUFMANN ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of COMM/Connecting new rooftop NC unit.
Work
Fees: Valuation $250.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 08/06/2012
❑ Permit Voided I Parcel Id# 1219700000
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 se =any - -ssa ap• ova j•efore starting such activity.
Signature / Date
Agent/Owner
Address 2677 INDIAN POINT RD OSHKOSH WI 54901 -9609 Telephone Number (920)232-0609
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 OJHKOJH
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 ❑
� 2 � /' DATE C /�
JOB ADDRESS ✓ / C /�.Sc c
OWNER!,5 "
CONTRACTOR A140 'Ft/t ) LC--
CHECK El ALL APPLICABLE
USE CATEGORY
❑Single Family ['Duplex ❑Multi-Family DRental ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE Jverhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts )2L) / c yD Receptacles# Circuits#
Phase 5';fir(e.,
Amps l eta Switches# Fixtures#
CHECK El ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE RQ., C'a,;ti'lc. u u
q
VALUE(Including labor and all materials including li ht fixtures) $ ca U `}
MASTER ELECTRICIAN F7
3/02