HomeMy WebLinkAbout0151599 - Electric ( interior buildout) CITY OF OSHKOSH No 151599
10 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1821 JACKSON ST
Owner 1821 JACKSON STREET LLC Create Date 08/07/2012
Contractor ABSTRACT ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Underground(�
Service O New O Change 0 Temp • N/A Type Overhead
Volts
Circuits 2 Luminaires
Amps
Switches 2 Receptacles _. 6
Appliances
Use/Nature of COMM(DOLLAR TREE)/INTERIOR BUILDOUT FOR STORE "check#3092
Work
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $145.00
Date 08/09/2012
Issued By:
E] Permit Voided Parcel Id# 1219290000
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.
Date
Signature
Agent/Owner
Address N7637 ALICE CT HILBERT WI 54129 -9339 Telephone Number (920)470-9114
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 01HK11H
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
JOB ADDRESS /6.-7/ Je
OWNER i
-CONTRACTOR //(. rcf ma T c
CHECK El ALL APPLICABLE
USE CATEGORY
El Single Family ❑Duplex ❑Multi-Family ❑Rental Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ot Applicable
❑Change . .lot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits# 12
Phase
Amps Switches# Fixtures#
CHECK H ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal DDryer El Water Heater
❑Fan OR Blower ❑Furnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE / Jr
wT
(rootlet— Zy51 1.)r�
s•!j,-t
VALUE (Including labor and all materials including light fixtures) $
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MASTER ELECTRICIANS �l^
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