HomeMy WebLinkAbout2013-Electric ED CITY OF OSHKOSH No 154186
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1210-1250 S KOELLER ST Owner 1200 SOUTH KOELLER STREET Ill LLC Create Date 01/16/2013
Contractor P&J KAMPO ELECTRIC INC Category 642-Commercial-New Building Wiring Plan
Inspector Adam Krause
Service • New 0 Change 0 Temp 0 N/A 1 Type O Overhead • Underground
Volts 120/240 Circuits Luminaires
Amps 400 Switches Receptacles
Appliances r
Use/Nature of COMM\(1226)Interior buildout wiring for the Joann Fabric store
Work
Fees: Valuation $25,000.00 Plan Approval $0.00 Permit Fee Paid $288.00
Issued By: k_ Date 01/16/2013
l Permit Voided Parcel Id# 1308480400
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 wit in n ea - t,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any nec p. • ,:ir before starting such activity.
Signature - Date /_ __ /3
Agent/Owner
Address 50 PHEASANT C APPLETON WI 54915 -4527 Telephone Number (920)730-8556
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 Of--KO/-
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 I-1( --i 3
JOB ADDRESS
OWNER 4:1Aw,v. 'F0,6r;c.
CONTRACTOR 2 ka ` sc Ti-c
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Pit'Commercial ❑Industrial
SERVICE tErNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable DiUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 'd6o / '1/1 Receptacles# Circuits#
Phase 3
Amps L400 Switches# Fixtures#
CHECK ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE hieW To1L Sab<« 5-1-0-re.
VALUE (Including labor and all materials including light fixtures) $ 2S,MC- GO
MASTER ELECTRICIAN 7