HomeMy WebLinkAbout0154058 - Electric (wiring for roof top) CITY OF OSHKOSH No 154058
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1600 S KOELLER ST Owner GREENE REAL ESTATE OF WI PTNSHP Create Date 12/26/2012
Contractor PACKERLAND ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type 0 Overhead O Underground
Volts Circuits Luminaires
Amps Switches _ Receptacles
Appliances
Use/Nature of OMM(WG&R FURNITURE)/WIRING FOR ROOF TOP REPLACEMENT **check#7744
Work
Fees: Valuation $497.15 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By:5771 Date 01/02/2013
3 Permit Voided Parcel Id# 1307440404
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 3684 PACKERLAND DR _ DE PERE WI 54115 -6854 Telephone Number (920)336-8600
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 OJHKaJ-
ON'HE WAIPR
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 ❑
1SQif D ATE /2 z -/ --JOB ADDRESS 1 b O J'C
OWNER 1,3 6 4 111-
CONTRACTOR 'T 15S1At 2 tfl l�d(t L
CHECK 0 ALL APPLICABLE
USE CATEGORY
O Single Family ODuplex ❑Multi-Family ❑Rental commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead ENot Applicable
OChange ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal DDryer DWater Heater
❑Fan OR Blower ElFumace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other /
DESCRIPTION OF ALL WORK BEING DONE (A t- a'/I J I) a Two-)
,J•'► a--f" T, tizt A f lei,e4'n9
a'h j2._ JI iv gzjz c y (Ai irilL 1,41I ( CJfe�'�
'S
VALUE (Including labor and all materials i i ding light fi . es) $ 9'7
MASTER ELECTRICIAN ,
Str /
3/02