HomeMy WebLinkAbout0153178 - Electric (receptacles) 0 CITY OF OSHKOSH No 153178
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 457 N MAIN ST Owner STAPEL PROPERTIES LLC
Create Date 10/25/2012
Contractor KAUFMANN ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service O New 0 Change 9 ❑ Temp • N/A j Type ❑ Overhead
Underground
Volts Circuits 6
Luminaires
Amps -- Switches
Receptacles 3
Appliances — — — —
Use/Nature of 1COMM/ADD RECEPTACLES FOR FREEZERS AND COOLERS,WIRE A/C COMPRESSORS **check#2137 —
Work
Fees: Valuation $1,700.00 Plan Approval _ $0.00
Permit Fee Paid $77.00
Issued By:
Date 10/25/2012
❑ Permit Voided Parcel Id# 0700210000
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 secje any necessapprovals before starting such activity.
Signature / Date 1G7 r– ---/
( Agent/Owner
Address 2677 INDIAN POINT RD — OSHKOSH WI 54901 -9609
Telephone Number (920)232-0609
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
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
Oil 1KOJ---
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE /V -
JOB ADDRESS y5 7 iv. ///a4..4
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OWNER S .7'fef �`��
CONTRACTOR /17p//01/=``GC
CHECK EI ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE C]New ❑Temporary TYPE ❑Overhead DNot Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
6,
Volts / Receptacles# �3 Circuits# 7
Phase
Amps Switches#
Fixtures#
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher ['Garbage Disposal ❑D er
❑ ❑
Fan OR Blower Furnace n' ❑Water Heater
❑
OMotors Electric Sign
Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE t 1 s / • /12- 74:314A
c )L a
VALUE(Including labor and all materials including light fixtures)$ 1 / (3T-i
MASTER ELECTRICIAN
3/02