HomeMy WebLinkAbout0151868 -Electric (tenant remodel) 0 CITY OF OSHKOSH No 151868
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2010-2100 W 9TH AVE Owner TOWER ASSOCIATES LLC
Contractor VAN ERT ELECTRIC CO INC Create Date 08/21/2012
Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New • Change 0 Temp 0 N/A I Type 0 Overhead 0 Underground
Volts 120 Circuits
4 Luminaires 8
Amps 20
Switches 2 Receptacles 5
Appliances
Use/Nature of {COMM(2090-THE STRIP)/TENANT REMODEL FOR NEW RESTAURANT **check#3980
Work
Fees: Valuation $1,000.00 Plan Approval $0.00
C` N \ Permit Fee Paid $60.00
Issued By: :}�( Y i(�J
Date 08/21/2012
❑ Permit Voided Parcel Id# 0614660000
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 2000 PROGRESS WAY KAUKUANA WI 54130 -9562
Telephone Number (920)766-3888
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 03 0 Fax (920)236-5084 OJHKOJH
ELECTRICAL PERMIT APPLICATION RECEIVED
All information after bold categories must be provided.
Incomplete applications will not be processed. AUG 2 1 2012
• Application(s) and fee(s) can be brought to City Hall,Room 205 or mailed to Inspection S DLF, �l fA it iVFI OF
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees bein fE�r1£11 �f1 klitI
normal permit fee, which ever is greater. $��012� ON
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 .4a6/1`9.
JOB ADDRESS (bC) tilj , cf4" Ave.
-1-67104-17
OWNER LI t V 71 J5bC�.ede LLC A ;� k
CONTRACTOR �(�-i'� C�✓�" ('C Co.6.41-e---, v teLt v 1 i v 1 Flo.
lh C i 84-
CHECK El ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family DRental commercial ❑Industrial
SERVICE ONew OTemporary TYPE ❑Overhead ❑Not Applicable
hange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 12-0/ Receptacles # Circuits # 4
Phase I Z
Amps (TX Switches # Fixtures# y
CHECK El ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps 'Other
DESCRIPTION OF ALL WORK BEING DONE 2, ) IA--- 1 vt ki.e 2. -- Liloctic,1
VALUE (Including labor and all materia including light fixtures) $ I)(LW.'
MASTER ELECTRICIA J r cl L" 3/02