HomeMy WebLinkAbout2012-Electric (chg service) 0 CITY OF OSHKOSH
OSHKOSH No 152519
ON THE WATER ELECTRIC PERMIT -APPLICATION AND RECORD
Job Address 1886 RATH LN
Owner BRE LQ PROPERTIES LLC
Contractor NORTHLAND ELECTRICAL SERVICES L Create Date 09/21/2012
Category 644-Commercial-Service Change Plan
Inspector Adam Krause —
Service —_-- ----- _ — ----
New • Change O Temp 0 N/A
Type O Overhead Underground
Volts 240/120 — — —Circuits
Amps 100 Luminaires
Switches
Appliances — Receptacles
L_
Use/Nature of COMM/CHANGING FROM OVERHEAD TO AN UNDERGROUND SERVICE "check#29247
Work
Fees: Valuation $2,000.00 Plan A ----- — --J
pproval $0.00 Permit Fee Paid
•i. — — $77.00
Issued By:
Date 09/21/2012
Permit Voided
Parcel Id# 1610980000
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 1100 ORVILLE DR NEW LONDON WI 54961 -9418
--- ---- Telephone Number 920 531-1197
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 1 130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 0/�K+✓/�
ELECTRICAL PERMIT APPLICATION f �
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 I 128,
Oshkosh WI 54903-1 128. 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 ❑
P DATE ` /2' iZ
JOB ADDRESS I (�()6 47/5 &toe
OWNER Lo . L I fk RECEIVED
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CONTRACTOR J(')r f j()11 nc f irc ii(ar 1 /4( )3 SEP 21 2012
DEPAft7MlENT OF
CHECK Q ALL APPLICABLE COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
USE CATEGORY
['Single Family ['Duplex ❑Multi-Family ORental 11Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE Zverhead ❑Not Applicable
l Change ONot Applicable nderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 'DL O/ 12. 0 Receptacles # 7V/ 0/,
Phase t Circuits #
Amps ) DO Switches # 4/4 (1)/(Q.
Fixtures # i, J �
CHECK Q ALL APPLICABLE
❑Range ❑Dishwasher OGarbage Disposal
❑Fan OR Blower OFurnace ° p ❑Dryer' DWater Heater
❑A/C DElectric Sign
['Motors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE OCA r l R i -VI l r Duei ad J-o
C&n U ncify rOU nd I C V
VALUE (Including labor and all materials ' eluding light fixtures) & A')
MASTER ELECTRICIAN /"