HomeMy WebLinkAbout0154482 - Eelctric CITY OF OSHKOSH No 154482
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 805 WITZELAVE Owner CITY OF OSHKOSH Create Date 02/18/2013
Contractor BELL ELECTRIC LLC Category 644-Commercial-Service Change Plan
Inspector Adam Krause
Service New • Change 0 Temp O N/A J Type 0 Overhead O Underground
Volts 120/240 Circuits 2 Luminaires
Amps 200 Switches Receptacles
Appliances
Use/Nature of COMM/REPLACE ELECTRICAL PANEL,NEW LIGHT FIXTURES AND ADD HAND DRYERS
Work
Fees: Valu on ) $12,494.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: Date 02/18/2013
❑ Permit Voided Parcel Id fl 0603510300
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 1303 MIDWAY RD MENASHA WI 54952 - 1129 Telephone Number (920)886-6589
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.
/18/2013 MON 9: 24 FAX 920 733 2713 Watters Plumbing 001/001
City of Oshkosh
Division of Inspection Services
P.O.Box I
Oshkosh, WI 54903-1130
Cilhill)
Phone(920)236-5050
Fax (920)236-5084 01HKOJH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participatink in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ]
/ DATE p?—fc? -0,Vt'3
JOB ADDRESS &SUS I/ll(<LC-2., i11/�
OWNER Cry or OsW I<USt-(
CONTRACTOR 66-z,.... CLE- 74
CHECK Q ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental (commercial ❑Industrial
SERVICE :New ❑Temporary TYPE ['Overhead ❑Not Applicable
Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2 J /21(0 Receptacles# Circuits tf
Phase
Amps .200 Switches# Fixtures #
CHECK RI ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ['A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
D i SCRIPTION OFD L WORK BEING DONE I t f itt, E2 ecff1C P ,JF�-/
gf(.6.) ' -t(f,— t' v2cjj i f e .5
C
VALUE(Including labor and all r .terials including light fixtures)$ (/A c/
r-
MASTER ELECTRICIAN aft 'boil ,/ — —Z-:/
3/02
Received Time Feb. 18 2013 9 : 18AM No. 2343