HomeMy WebLinkAbout0154654 - Electric 0 CITY OF OSHKOSH No 154654
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 703 705 N MAIN ST Owner ULTIMATE PROPERTIES LLC _ Create Date 03/07/2013
Contractor GROVER ELECTRIC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New --- -- —
0 Change 0 Temp • N/A Type O Overhead O Underground —�
Volts 120/240 Circuits Luminaires
Amps
Switches
Receptacles
Appliances [adding receptacles and lighting
Use/Nature of I'COMM/adding receptacles and lighting per remodel/all work will meet state and local codes
Work
I I
_ II
Fees: Valuation $750.00 Plan Approval $0.00
Permit Fee Paid $54.00
Issued By: —
Date 03/07/2013
n Permit Voided! Parcel Id# 1004310000
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) - = o secp -ny necessary approvals b-,ire starting such activity.
Signature
Date
Agent/Owner
Address 1650 S OAKWOOD RD — OSHKOSH WI 54904 -8347 Telephone Number (920)379-7259
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 OfHKOJH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
, DATE ?/ 7//'
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JOB ADDRESS 70 /1//V /14C
OWNER P2 cr,rq A;�
CONTRACTOR 6--o L - E _ c rr- a�
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental1Commercial ❑Industrial
SERVICE :New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change :Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts )Zd /2-4 0 Receptacles# Circuits#
Phase_S ; c--c
Amps Switches# Fixtures
CHECK IZ ALL APPLICABLE
ORange :Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
El Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE 4-c/i' L-c 7ce
-t 1-7 t-
0
VALUE(Including labor and all materials including light fixtures)$ 2 5 U
MASTER ELECTRI r. _—,
or- 3/02