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0153947 - Electric (Industrial)
CITY OF OSHKOSH No 153947 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 4070 STATE ROAD 91 Owner BLUE ROCK PROPERTIES LLC Create Date 09/05/2012 Contractor SOLAR ELECTRIC SERVICES INC Category 653-Industrial-Addition/Remodels Plan Inspector Adam Krause Service b New 0 Change 0 Temp • N/A 7 Type O Overhead O Underground Volts 120/208 Circuits 14 Luminaires 35 Amps 200 Switches 8 Receptacles 25 Appliances I I Use/Nature of INDUSTRIAL(LATE PERMIT)/F.N.Sheppard&Co/Addition to the factory **check#2800 Work Fees: Valuation $22,500.00 Plan Approval $0.00 Permit Fee Paid $564.00 Issued By: BYTY"J Date 12/14/2012 ❑ Permit Voided Parcel Id# 1329103006 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 n essary a pro s bef a starting such activity. _ Signature Date Agent/Owner Address 2303 JACKSON ST, SUITE C OSHKOSH WI 54901 -8535 Telephone Number (920)231-3990 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. Jun, 15. 2010 12: 59PM CITY OF OSHKOSH INSPECTION No, 1490 P. 1 City of Oshkosh Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 OM I���I I Fax (920)236-5084 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$100.00 plus the normal permit fee,which ever is greater. OR if you are a contractor participating in the Permit Fee Account System and have adequate funds, check here if you want this processed through your account ❑ DATE 3- (d JOB ADDRESS q(---) CJ LA-) OWNER 0' 5h-e Gc CONTRACTOR Sc 1O/`r fir`, CHECK El ALL APPLICABLE USE CATEGORY ❑Single Fancily ❑Duplex DMu1ti-Family [Mental ❑Commercial me 1(ndustrial SERVICE ['New ❑Temporary TYPE 0 Overhead C ot `Applicable ❑Change Not Applicable ❑lnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts )-a I d-eg Receptacles# Circuits it / Phase (- pvvc,c4 Amps, add ain(? Switches# Fixtures# 3 CHECK®ALL APPLICABLE liRange ❑Dishwasher 9Garbage Disposal ©Dryer 221Vater Heater , 'Fan tilt Blower [Furnace DAIC ❑Electric Sign LMotors ❑Oas Pumps ClOther DESCRIPTION OF ALL WORK BEING DONE /---(9k / o011(1S rd d'6 eeat La) ? -6‘ r(Oo rc / &c a-60 ru ` fee c( p ( . VALUE (Including labor and all materials including light fixtures)$ 04 rS L/C/• MASTER ELECTRICIAN T$ ` • J ) 3/02