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0151976 - Electric (replace wall pack)
CITY OF OSHKOSH No 151976 • C.14-OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 3601 OREGON ST Owner WINNEBAGO COUNTY Create Date 08/28/2012 Contractor ELECTRICAL CONTRACTING PLUS Category 643-Commercial-Addition/Remodels Plan Inspector Adam Krause Type Service p New 0 Change 0 Temp 0 N/A I T yP 0 Overhead 0 Underground Volts Circuits Luminaires 15 Amps Switches Receptacles Appliances Use/Nature of COMM(FVTC)/REPLACE EXISTING WALL PACK WITH NEW LED WALL PACK **check#2123&2116 Work Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $77.00 J Date 08/28/2012 Issued By: ( (/' Permit Voided I Parcel Id# 1413680700 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 701 MARGEO DR NEENAH WI 54956 -1727 Telephone Number (763)370-7338 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 jt-1fi�/ �„ Fax (920)236-5084 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$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account ❑ DATE g/!Y/,1- JOB ADDRESS 3 g a t 6.60N1 OWNER r-ox it At L Eck 7L= CONTRACTOR f% -772A C?4& r 7A4 2 'N 4 fl LA)S CHECK 0 ALL APPLICABLE USE CATEGORY DSingle Family DDuplex OMulti-Family QRental Commercial DIndustrial SERVICE ONew DTemporary TYPE ['Overhead ,Not Applicable OChange j1 1Not Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# t— Phase Fixtures# / ] Amps Switches# CHECK®ALL APPLICABLE ORange ❑Dishwasher DGarbage Disposal ❑Dryer ❑Water Heater OFan OR Blower OFurnace DA/C DElectric Sign ©Motors DGas Pumps DOther DESCRIPTION OF ALL WORK BEING DONE _ r Ct't00 )( c,v , t,{i vo i,cct p 6�(die t�tt/ f/C;itf L • la.l. L VAC/ VALUE(Including labor and all materials including light fixtures)$ 1/14©' " MASTER ELECTRICIAN Y0$Cr N e iL te7"c-c°cI d(A -et. //y I e o li Cr et t t"fc'te t '' /f d I ti t,e 3/02