HomeMy WebLinkAbout0152812 - electric (interior remodel) CITY OF OSHKOSH No 152812
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1 N MAIN ST Owner OSHKOSH INVESTORS LLC Create Date 10/05/2012
Contractor SUBURBAN ELECTRICAL ENGINEERINI Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New 0 Change 0 Temp • N/A Type O Overhead _ 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of COMM(HOTEL)/INTERIOR REMODEL **check#56961
Work
Fees: Valu • n $612,400.00 Plan Approval $0.00 Permit Fee Paid $2,052.00
Issued By: L� Date 10/05/2012
❑ Permit Voided 1 Parcel Id# 0100400000
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 709 N HICKORY FARM LN APPLETON WI 54914 -3032 Telephone Number (920)739-5156
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 WI 1130
5
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfHKOfH
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 L) 'a'
JOB ADDRESS 9 v 1 A-43111) ,S11 .
a
OWNER �)IOJM /r 76/(.) LI
CONTRACTOR Ia u r`14/) l ec-t -i C
CHECK 0 ALL APPLICABLE
USE CATEGORY
0 Single Family ❑Duplex ❑Multi-Family ❑Rental 13/Commercial ❑Industrial
SERVICE ❑New ❑"Temporary TYPE ❑Overhead ❑Not Applicable
❑Change cyklot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK D ALL APPLICABLE
[Mange ElDishwasher El Garbage Disposal ❑Dryer OWater Heater
EFan OR Blower ❑Furnace ❑A/C DElectric Sign
DMotors ❑Gas Pumps ❑Otheerr
DESCRIPTION OF ALL WORK BEING DONE /7 1 / T(✓-t p d l
? C.t,
VALUE (Including labor and all m rials including light fixtures) $
/G 'L `t '
MASTER ELECTRICIA
3/02