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0153208 - Electric (panel and 64 outlets)
0 CITY OF OSHKOSH No 153208 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 855 N WESTHAVEN DR Owner AURORA MEDICAL CENTER OF OSHKOSh Create Date 09/27/2012 Contractor STAFF ELECTRIC CO INC — — -- Category 643-Commercial-Addition/Remodels Plan Inspector Adam Krause _ --_--- Service 9 New O Change O Temp • N/A Type 0 Overhead 0 Underground - J 120 Circuits Luminaires Amps 100 Switches Receptacles 64 Appliances Usoek ature of �COMM/INSTALL(1) 120/280V, 100 MP PANEL AND 64 OUTLETS (JOB#923716) **check#83737 Fees: Valuation $56,000.00 Plan Approval $0.00 Permit Fee Paid $381.00 Issued By: 5Th ti Date 10/26/2012 ❑ Permit Voided Parcel Id# 1621520000 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 PO BOX 917 BUTLER WI 53007 -917 Telephone Number (262)781-8230 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. Wentz, Sandra From: ELECTRICAL PERMIT APPLICATION [Permit_App_Electrical©ci.oshkosh.wi.us] Sent: Wednesday, September 26, 2012 12:58 PM To: Inspections, Inspections Subject: Electrical Permit Application ELECTRICAL PERMIT APPLICATION Date:9/26/2012 12:58:09 PM Permit Fee Account System: NO Job Address: 855 N. WESTHAVEN Owner: AURORA HEALTH CENTER Contractor: STAFF ELECTRIC CO., INC. Use Category: Commercial Service: Not Applicable Type: Not Applicable Volts: 120 Receptacles: 64 Circuits: 64 Phase: 3 Amps: 100 Switches: Fixtures: Appliances: Other: Description of all 1. INSTALL ONE 120/208V 100A PANEL. 2. INSTALL (64) OUTLETS work being done: Value (Including labor and 56000 all materials including light fixtures): Master Elelctrician: JAMES S. SULLIVAN i