HomeMy WebLinkAbout0154251 - Electric (Electrical moves) CITY OF OSHKOSH No 154251
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 290-300 OHIO ST Owner BRIDGEVIEW HOLDINGS LLC Create Date 01/23/2013__
Contractor BUSS ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan _
Inspector Adam Krause
Service O New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts 120/208 Circuits 38 Luminaires 64
Amps Switches 31 Receptacles 68
Appliances 'Furnace,A/C,Water Heater,Electric Sign
Use/Nature of COMM(290-MIDWEST DENTAL)/DEMO EXISTING ELECTRICAL,RELOCATE(2)SUBPANELS. INSTALL ALL ELECTRICAL FOR
Work ,DENTAL CLINIC INCLUDING UNDERGROUND TO CHAIR RECEPTACLES,X-RAYS, 12 O'CLOCK WALLS,GENERAL
'RECEPTACLES AND LIGHTING **check#6429
Fees: Valuation $25,000.00 Plan Approval $0.00 Permit Fee Paid $300.50
Issued By: LL5 Date 01/23/2013
❑ Permit Voided Parcel Id# 0600021200
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 W6166 GREENVILLE DR GREENVILLE WI 54942 -9676 Telephone Number (920)757-6501
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 O JHKO JH
Fax (920)236--55084 4
ON THE WATFR
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 13
JOB ADDRESS —I V 0\41�D Sire ,
OWNER V) \ tries* -Deo-I-6k i i; MOM :r ,.,.;, $ L ANS eta
CONTRACTOR Zv 5S C I,e JAN 2 3 ao13
D"EP/;k ;;:.
CHECK El ALL APPLICABLE COMMUNITY DEV O-;j,.,ENT
INSPECTION SERVICES blvISI,ON
USE CATEGORY
❑Single Family El Duplex ❑Multi-Family ❑Rental l 'Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead )(Not Applicable
❑Change I> INot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 2n / U Receptacles# 66 Circuits# g
Phase 3 i i re-
Amps / U
I CO `,fit D ittne .S Switches# 'I Fixtures# p I
CHECK El ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal ❑Dryer Water Heater
❑Fan OR Blower )$'Furnace k/C l lectric Sign
El Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE a--'11(; eX�c)1��lc elecim(-..\ , reloc& e (s-.)
-Subp e VS: - -l\SW1 G\\ cci - N.A l -ndlvAirvF
u 1_ c • ,\ -L..e - 3,1 . )cT v'L)cx, - 1�. s C e .ZIA
cc e 6 des Cki\A \`1cs t 3
VALUE(Including labor and all {materials including light fixtures) $ 5 l�l x 00 Pe`o ' �f'� J
MASTER ELECTRICIAN ;AO-1"C
3/02