HomeMy WebLinkAbout0153501 - Electric (warehouse addition) 0 CITY OF OSHKOSH No 153501
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3555 MOSER ST Owner RONALD H/JANE K JOHNSON LLC Create Date 08/20/2012
Contractor PIEPER ELECTRIC INC Category 653-Industrial-Addition/Remodels Plan
Inspector Adam Krause
Service O New O Change 0 Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances 1
Use/Nature of INDUSTRIAL/WAREHOUSE ADDITION **check#322792
Work
VIII
Fees: Valuation $130,000.00 Plan Approval $0.00 Permit Fee Paid $603.00
Issued By:54n O Date 11/12/2012
Permit Voided J Parcel Id# 1519606400
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 5070 N 35TH ST MILWAUKEE WI 53209 -5302 Telephone Number (414)462-7700
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
01HK0fH
ELECTRICAL PERMIT APPLICATION ON THF WhTFa
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 participatinz in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE 1//6//Z
JOB ADDRESS 36�Agar 61 C1CS/1 t A WJ
OWNER i)/1.0-01-
CONTRACTOR ?I efeiC EIe(9iti
CHECK El ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex ❑Multi-Family ORental ❑Commercial ,Industrial
SERVICE ONew ❑Temporary TYPE ❑Overhead ONot Applicable
❑Change AINot Applicable :Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles#
Phase Circuits#
Amps Switches#
Fixtures#
CHECK El ALL APPLICABLE
ORange :Dishwasher ❑Garbs a Disposal
:Dryer DWater Heater
OFan OR Blower OFurnace g DA/C :Electric Sign
:Motors
❑Gas Pumps ❑Other
DESC TION°FALL WORK BEING O
f11, J oM a Yi0r)
VALUE(Including labor and all materials including light fixtures) /30 J 000�
MASTER ELECTRICIAN c114)( `
(1034
61.3 3/02