HomeMy WebLinkAbout2012-Electric (lighting) 10 CITY OF OSHKOSH No 152577
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Owner SOUTH SIDE ICE YACHT CLUB Create Date 09/25/2012
Job Address 1842 SMAIN ST — — --
Contractor T RUCK ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan _
Inspector A dam Krause
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Service 0 New 0 Change O Tem p Q N/A _i Type � Overhe ad O Underground Volts
Circuits Luminaires 8
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Amps _— Switches Receptacles
Appliances [
I
� II
Use/Nature of tOMM/REMOVE HANGING LIGHTS AND INSTALL RECESSED CAN LIGHTS **check#8316
Work
Fees: Valuation $1,900.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By:
bill,. Date 09/25/2012
El Permit Voided Parcel Id# 1401150000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Date
Signature
Agent/Owner
Address 690 W 3RD AVE OSHKOSH WI 54902_-5880 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
(1112)
Oshkosh,WI 54903-1130
Phone (920) 236.5f)50
Tax fo20) ')16-50),4
ELECTRICAL PERMIT APPLICATION
All infOrmation after bold categories must be provided.
Incomplete applications will not be processed_
* Apphcation(c)and fee(s) can be brought to City Hall,Room 205 or mailed to inspection Services, PO Box I 2S,
Oshkosh WI 54933-I 128. Commencing work without permit(s) will result in fees being doubled or$i 00.0u plus
normal permit fee, which ever is greater.
OR
If ori are a contractor participating in the Permit Fee Account System and have adequate funds,
if you want this processed through your account El
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DATE 2—
JOB ADDRESS / fJu )
OWNER At Ileah Ettj:
CON T RA CT c-
CHECK RI ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex ORental a(Ommercial Dindustrial
SERVICE CINew CITemporary TYPE ClOverilead ONot Applicable
OChange ffKrot Applicable Ellitiderground
FILL IN THE APPROPRIATE BLANK'SNUB THE NUMBER
Volts Receptacles # Circuits#
Phase
Amps Switches# Fixtures
CHECK Ed ALL APPLICABLE
DRange ODishwasher OCiarbage Disposal :Wryer DWater Heater
OFan OR Blower OFurnace DA/C OElectric Sign
ONlotors OGas Pumps 00ther
DESCRIPTION OF ALL WORK BEING DONE mr
.
VALUE (Including labor and all m teiia , • hiding light fixtures S
MASTER ELECTRICIAN 7 I ' / 77-