HomeMy WebLinkAbout0154369 - Electric (repaitr conduit) (19 CITY OF OSHKOSH No 154369
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3300 MEDALIST DR - Owner SMET INVESTMENTS LLC Create Date 12/13/2012
Contractor FAITH TECHNOLOGIES, INC. Category 641 -Commercial-New Service Plan
Inspector Adam Krause
Service '• New 0 Change 0 Temp 0 N/A J Type • Overhead 0 Underground
Volts 480 Circuits - Luminaires
Amps 200 Switches Receptacles
Appliances - -
Use/Nature of COMM/REPAIR CONDUIT THAT WAS DAMAGED BY THEFT OF COPPER FROM FACILITY, REPLACE FEEDER COPPER
Work CONDUCTORS THAT WERE REMOVED BY THIS THEFT **check#976036
Fees: Valua ion 1/`� $43,000.00 Plan Approval $0.00 Permit Fee Paid - $363.50
Issued By: Date 02/06/2013
❑ Permit Voided Parcel Id# 1413650000
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.
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City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 CJHKCIC
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 .4177 /L3
JOB ADDRESS !�� t-c L
OWNER v1/ 1"1'E `ces
CONTRACTOR
EA 1 — h . . `
1
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex DMulti-Family DRental ,Pommercial ❑Industrial
SERVICE/Slew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground
FILL IN THE�APPROPRIATE BLANK WITH THE NUMBER
,1
Volts ` �:// Receptacles# Circuits#
Phase
Amps DD Switches# Fixtures#
CHECK H ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
DFan OR Blower ❑Furnace DA/C ❑Electric Sign
DMotors ❑Gas Pumps ❑Other
D CRIPTION OF ALL WORK BEING DONE
-i- mss. • • •��� C ',s_ e'c _US �! rS'
i'1t sip s; fair /.d '
VALUE (Including labor and 4I aterials includi g light fixtures) !cam 100 . dl]
MASTER ELECTRICIA 'flA '' ° ��2 L i mtt
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3/02
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