HomeMy WebLinkAbout0152463 - Electric (new overhead service) CITY OF OSHKOSH No 152463
10 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3300 MEDALIST DR
Owner SMET INVESTMENTS LLC Create Date 09/18/2012
ry -
Category 641 Commercial-New Service Plan
Contractor FAITH TECHNOLOGIES, INC. g Inspector Adam_Krause
Service 0 New 0 Change 0 Temp 0 NIA Type IP Overhead O Underground 1
Volts
480 Circuits Luminaires -
Switches Receptacles —_
Amps 200 --- - --- --- --
Appliances
Use/Nature of COMM/INSTALL NEW OVERHEAD SERVICE **check#966293
Work
Fees: Valuation $7,500.00 Plan Approval $0.00 Permit Fee Paid $179.00
Date 09/18/2012
Issued By: ���
El Permit Voided I Parcel Id# 1413650000
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 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 e andyphof
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),y our Name
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.
-Zib ic.3- 1 1a? I 3
$ 1-7 c1 . 00 p 'r ryl1 1
City of oos.
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
N THE WAT.K
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 permits)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor particip j}r7E in the Permit T ee ccounLlSystem and !rave adequate unds check here
if you want this processed through your account ❑
} DATE !V) j/}
JOB ADDRESS ) '3 C)C> M C4 II S - it ., .
. .„
OWNER ) 1-4....:J 1 �G?---i .0-
CONTRACTOR t7) t`—L .. I t"-c-h n C?I o' -`i.o,..,�
CHECK El ALL APPLICABLE �J
USE CATEGORY
OS ingle Family ODuplex DMulti-Family DRental commercial ❑Industrial
SERVICF ew ❑Temporary TYPEC24rhead ONot Applicable
❑Change ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 10) / Receptacles# _ Circuits#
Phase ,_-y
Amps ,4-.)t' ?' Switches# Fixtures#
CHECK 10 ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower OFumace ❑A/C ❑Electric Sign
DMotors OGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE
, VALUE(Including labor and alj m riots 'minding li ht fixtures) C. )12 MASTER ELECTRICIAN ' I C ,O, c.,.. �..i2 t, _ 1 /'1'1 L1-J
3/02