HomeMy WebLinkAbout0151877 - electric (misc chemical system improvements) CITY OF OSHKOSH No 151877
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 425 LAKE SHORE DR Owner CITY OF OSHKOSH Create Date 08/22/2012
Contractor PIEPER ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 10 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of COMM/REPLACEMENT OF(2)250 HO VFD,(1)40 KVA VPS AND MISC CHEMICAL SYSTEM IMPROVEMENTS
Work
Fees: Valuation $200,000.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: ( � Date 08/22/2012
❑ Permit Voided I Parcel Id# 1100950000
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 5070 N 35TH ST MILWAUKEE WI 53209 -5302 Telephone Number (414)462-7700
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.
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City of Oshkosh � � /i`� *AtAIA4--C_} /o%i3-
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJF ((DJ1w
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 nartici_nating in the_Permit Fee Account System and have adequate_Lunds. check here
if you want this processed through your account 0
DATE i •��
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JOB ADDRESS 2c l i/'nn 1 j /.{o24 AUG 21 2012
OWNER C I TY 0 F QS ILoS /f DEPARTM[
COMMUNITY DEVELOPMFNN17
CONTRACTOR PIFPfuL LI c I a L sold STIi Ih1(t3AstRIZSF TIO 3r.A {' ,?VnO`�.�
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CHECK ll ALL APPLICABLE 41 :551 -il-3g3
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial SiIndustrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ' Not Applicable
❑Change Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits #
Phase
Amps Switches # Fixtures#
CHECK El ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors OGas Pumps MOther
DESCRIPTION OF ALL WORK BEING DONE
REPL Att fit FN' u F (Z) 290 N P V FO () ) UPS y ® , ,i 'c,
c tie" Gtil M Inn P(LOVF f E,v a.S
VALUE (Including labor and all materials including light fixtures) $ 200 , OQ o
7
MASTER ELECTRICIAN 1 c ! \,
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