HomeMy WebLinkAbout2013-Electric (sign connection) CITY OF OSHKOSH No 154481
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1910-1964 S KOELLER ST Owner MARLIN OSHKOSH II LLC Create Date 02/18/2013
Contractor BISSING ELECTRIC, INC. Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances Electric Sign
Use/Nature of COMM(1954-WEIGHT WATCHERS)/SIGN CONNECTION **check#17697
Work
Fees: Valuation $250.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: � Date 02/18/2013
E] Permit Voided Parcel Id# 1307440100
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 2390 W NORDALE DR APPLETON WI 54914 - 1887 Telephone Number (920)731-2388 _
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(92 236-5050
Fax (920))236-5084 ;CJ
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
,` DATE d ' ° — �3
JOB ADDRESS `?S7 OWNER Nt I//fl 'YS ( - s, )
CONTRACTOR £/S. /5 *irk/C/
CHECK 0 ALL APPLICABLE
USE CATEGORY
0 Single Family ❑Duplex ❑Multi-Family ❑Rental , ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑OverheadJot Applicable
❑Change lot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal DDryer DWater Heater
❑Fan OR Blower ❑Furnace DA/C ,lectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
S/ 71
VALUE(Including labor and all ma • includin light fixtures)$ �v.
MASTER ELECTRICIAN
3/02