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HomeMy WebLinkAbout2012-Electric (change dipensers & equipment) 0 CITY OF OSHKOSH No 151590 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2400 S WASHBURN ST Owner C S I WI LTD PRTSP Create Date 08/08/2012 Contractor GERALD NELL INC Category 643-Commercial-Addition/Remodels Plan Inspector Adam Krause Service New O Change 0 Temp 0 N/A Type 0 Overhead • Underground Volts 277/480 Circuits Luminaires 8 Amps _ 1200 Switches Receptacles Appliances Fan or Blower,Motors,Gas Pumps - Use/Nature of COMM/CNG DISPENSERS AND EQUIPMENT/2 ADDITIONAL DIESEL DISPENSERS **check#38635 Work Fees: Valu,n $11 000.00 Plan Approval $0.00 Permit Fee Paid $567.00 Issued By: ( 1 Date 08/08/2012 ❑ Permit Voided Parcel Id# 1325500000 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 PO BOX 1428 WAUKESHA WI 53187 - 1428 Telephone Number (262)513-3750 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. 121469-30 City of Oshkosh Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 O0/H 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 7/23/12 JOB ADDRESS 2400 S. Washburn OWNER Kwik Trip, Inc. CONTRACTOR Gerald Nell Inc. CHECK 0 ALL APPLICABLE USE CATEGORY El Single Family ❑Duplex ❑Multi-Family ❑Rental Commercial ❑Industrial SERVICE EtNew ❑Temporary TYPE ❑Overhead ❑Not Applicable ❑Change ❑Not Applicable ®Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts 277 / 480 Receptacles# Circuits# Phase 3 Amps 1200 Switches# Fixtures# 8 CHECK Ei ALL APPLICABLE ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater @Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign ©Motors ®Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE CNG dispensers and equipment / 2 addiitonal diesel dispensers VALUE(Including labor and all materials including light fixtures)$118,000 MASTER ELECTRICIAN 3/02