HomeMy WebLinkAbout0152633 - Electric (upgrade service) CITY OF OSHKOSH No 152633
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3675 N Si MAIN
N ST Owner TREMBLY ENTERPRISES LLC
Create Date 09/27/2012___
Contractor VAN ERT ELECTRIC CO INC
Category 644-Commercial-Service Change
Inspector Adam Krause g Plan
Service - --
New • Change 0 Temp 0 N/A
Type—_� O Overhead • Underground
Volts 480
Circuits
Amps 800 Luminaires
Switches
Appliances i - Receptacles
Use/Nature of -COMM/UPGRADE SERVICE (F2405-A) **check#4004
Work ---_ --- ----- --
I
Fees: Valuation $30,000.00 Plan Approval
pproval $0.00 Permit Fee Paid
� $303_00
Issued ByaM
Date 09/27/2012
Permit Voided ( Parcel Id# 1519605400
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 2.000 PROGRESS WAY KAUKUANA WI 54130 -9562
— -- ---- — - Telephone Number (920)766-3888
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
W
Oshkosh, WI 54903-1130 ( )
Phone(920)236-5050
Fax (920)236-5084
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ELECTRICAL PERMIT APPLICATION ON THE WATER
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$100.00 plus the
normal permit fee, which ever is greater.
OR
I ' cu are a contractor ^a r,ici tin ;n th ha Permit Fee 4ccount cvstem and have adeavate funds check here
you want this processed through your account
DATE q/ (P
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JOB ADD RESS 3116— N. MO \
6��cS�--
OWNER IV-CAA-6k( -vI rp i se .S
CONTRACTOR V16-4i._ &/4-- OCC 1 Z 041-0'S' --.14
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental
commercial ❑Industrial
❑
SERVICE New ❑Temporary TYPE ❑ verhead
Change ❑Not Applicable ONot Applicable
�Jnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 480 / Receptacles #
Phase Circuits#
Amps ya Switches #
vs:tc Fixtures#t
CHECK El ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑D er
❑Fan OR Blower ❑Furnace ❑A/C D' ❑Water Heater
❑
❑Motors ❑Gas Pumps ❑Other Electric Sign
DESCRIPTION OF ALL WORK BEING DONE ly1 rads Se VV l
VALUE (Including labor and all materia including light fixtures)$ 3 O b1
MASTER ELECTRICIA ii,,,-- rj.
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