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0154567 - Electric (wire room,furnace, light)
CITY OF OSHKOSH No 154567 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 922 OREGON ST Owner RANGELOFF 922 OREGON LLC Create Date 02/27/2013 Contractor T RUCK ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan _ Inspector Adam Krause Service New O Change 0 Temp • N/A Type O Overhead 0 Underground Volts Circuits Luminaires Amps Switches Receptacles Appliances Use/Nature of COMM/WIRE PAINT ROOM, FURNACES, EXIT LIGHT ABOVE DOORS AND CORRECT CODE VIOLATIONS **check#8375 Work Fees: Valuation $1,550.00 Plan Approval $0.00 Permit Fee Paid $87.0 0 Issued By: (A) Date 02/27/2013 Permit Voided Parcel Id# 0301690000 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 690 W 3RD AVE - OSHKOSH WI 54902 -5880_ Telephone Number 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 re--) i if, 'N fl. 'JA',ER ELECTRICAL PERMIT APPLICATION All information after bold categories must he provided. Incomplete applications will not be processed. s Applications)and fee(s) can be brought to City Hall.Room 205 or mailed to Inspection Services, PC) Box ' 12S, Oshkosh WI 549)3-1128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus normal permit fee, which ever is greater. OR • If you are a Contractor participating in the Permit Fee Account System and have adequate funds c` ;;>r• if.you want this processed through your account 0 DATE_` C C . _ , (.3 JOB ADDRESS 2_9_ CaRi9 ?l6 S� OWNER---- -0f772tA-D CONTRACTOR----: d - -, .i♦ CHECK F3 ALL APPLICABLE USE CATEGORY ( Single Family ODuplex DMulti-Family °Rental ommercial °industrial SERVICE °New ❑Temporary TYPE ❑Overhead ONot Applicable. °Change °Not Applicable °Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts I Receptacles # Phase Circuits # Amps Switches # Fixtures # ?� CHECK ALL APPLICABLE °Range ©Dishwasher °Garbage Disposal ❑Dryer 0 Water Ileater gFan OR Blower OFurnace DA/. ❑Electric Sign ❑Motors OGas Pumps ❑Other DESCRIPTION OF ALL WO—RK BEING DONE_ -; - - /7 y r 414— boyez- LOn(z_& 2 P C k eo \,rtv LiAtf r(-)Lkt VALUE (Including labor and trials including light fixtures $ STS—C3 MASTER ELECTRICIAN t