HomeMy WebLinkAbout0151930 - Electric (industrial ) CITY OF OSHKOSH No 151930
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 100 W COUNTY RD Y Owner WINNEBAGO COUNTY Create Date 08/23/2012
Contractor FAITH TECHNOLOGIES, INC. Category 653-Industrial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A 7 Type 0 Overhead 0 Underground
Volts 480 Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of INDUSTRIAL(LAND FILL)/MODIFICATIONS TO METHANE FLARE(JOB#1111755) **check#964360
Work
Fees: Valuation 8,185.00 Plan Approval $0.00 Permit Fee Paid $267.00
Issued By:
Date 08/23/2012
Permit Voided I Parcel Id# 1268510000
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 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513
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(92 236-5050 Off C/-
Fax (920))236-5084
ON THE WATER
ELECTRICAL PERMIT APPLICATION "4- }
All information after bold categories must be provided. � i !
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 ao
JOB ADDRESS � c * =�•
OWNER i` ,,, c 4 ^�; �i. '"
CONTRACTOR �l . ✓ is(.. (1 ...1 �'
CHECK RI ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplex ❑Multi-Family [Mental c>iCommercial Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts i(81) Receptacles# Circuits#
Phase J
Amps Switches# Fixtures#
CHECK 21 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
Lean OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps DOther
DESCRIPTION OF LL WORK BEING DONE _
��'. . • 411" !" I II :drib* ii1e lirk
VALUE(Including labor and all materials including l t fxt s) '. ) _}
MASTER ELECTRICIAN .. ,L.;.: At -° 211M,
0.161'
3/02