HomeMy WebLinkAbout0153696 - Electric (bank wires) el) CITY OF OSHKOSH No 153696
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3815 OREGON ST Owner BALDOR ELECTRIC CO Create Date 11/26/2012
Contractor FAITH TECHNOLOGIES, INC. Category 653-Industrial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New O Change 0 Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of INDUSTRIAL/LOAD BANK WIRING TEST LINE#5 **check#971185
Work
Fees: Valuation W' 1$198,000.00 Plan Approval $0.00 Permit Fee Paid $807.00
Issued By: � Date 11/26/2012
❑ Permit Voided I Parcel Id# 1413680802
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 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513
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.
i#7/loot
ioOshkosh
Division si o I
on of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130 11411°)
Phone(920)236-5050
Fax (920)236-5084 n�
N 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 particepatinz in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account, ❑
DATE I('I`al/I),
JOB ADDRESS 3g 15 Dri t`l 54-`
OWNER r�rda� _.
CONTRACTOR, I ( 1 I?Chfl 1Fr'CS ble
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial Jndustrial
SERVICE New ❑Temporary TYPE ❑Overhead ONot Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors OGas Pumps ❑Other L
DESCRIPTION OF ALL WORK BEING DONE 1J/4d hank- Wi vi of- I t (A( 415
VALUE(Including labor and all materials including light fixtures)S 'g8/0OO'Go fce ' Y 3o-1,00
MASTER ELECTRICIAN I fri%4 r /"
3/02