HomeMy WebLinkAbout0154392-Electric (temporary for job trailers) el) CITY OF OSHKOSH No 154392
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 625 PEARL AVE Owner UW OSHKOSH FOUNDATION Create Date 02/08/2013
Contractor ELMSTAR ELECTRIC CORP Category 640-Commercial-Temporary Service Plan
Inspector Adam Kraus e _
Service New 0 Change • Temp O N/A Type • Overhead 0 Underground
Volts 120/208 Circuits Luminaires
Amps 400 Switches Receptacles
Appliances
Use/Nature of COMM(UWO WELCOME CENTER)/TEMPORARY SERVICE TO FEED JOB TRAILERS AND NEW BUILDING **check#63539
Work
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $223.00
)
Issued By: Date 02/08/2013
� � �� .,�•�-
❑ Permit Voided Parcel Id#
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 800 E LINE RD _ KAUKUANA WI 54130 - 1106 Telephone Number (920)766-8100
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 0111 Mr lir
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 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE .2 -"7-1-3
JOB ADDRESS ?a-0944 ✓e._ , Os /,has�- RECEIVED
OWNER (IWO
FEB 0 8 2013
CONTRACTOR Cl.•-►SrL C� •L
DEPART)<tE�T OF
CHECK 0 ALL APPLICABLE coMl�lu�rry DE NT OP!►RNT
INSPECTION SERVICES DIViS1ON
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Pt ommercial ❑Industrial
SERVICE ❑New 1gfempora y TYPE Overhead ONot Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / 2-0 / e 0 k Receptacles# Circuits#
Phase 3 Fixtures#
Amps Woo Switches#
CHECK El ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTIOTN OF ALL WORK BEING DONE you A^-p p �et
/ ✓`^�-� 10 '`� `�
VALUE (Including labor and all materials including light fixtures)$ /d, doe)
MASTER ELECTRICIAN
3/02