HomeMy WebLinkAbout0154763-Electric /�"� CITY OF OSHKOSH No 154763
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 505 AVIATION RD Owner DENNIS MOEHN Create Date 12/04/2012
Contractor STUMPF ELECTRIC INC. ___ Category 642-Commercial-New Building Wiring Plan
Inspector Adam Krause
Service � New 0 Change � Temp � N/A Type � Overhead � Underground
Volts 120/240 Circuits 3 Luminaires 2
Amps 100 Switches 1 Receptacles 2
Appliances —�I
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Use/Nature of OMM/NEW POLE BUILDING(New 45'x 48'x 12'Hangar) **check#7618,7627
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Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $138.00
Issued By: �W Date 03/19/2013
� 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 2727 E BROADWAY DR _ APP�ETON WI 54913 -8961 Telephone Number (920)968-0285
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.
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City of Oshkosh �
Division of Inspxtion Services � �
P.O.Box l 130 � #
Oshkosh,WI54903-1t30 ;
Phone(920)236-5050 ?
Fax (920)236-5084 �
ON THF ATFR -
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be providad. ,
Incomplete applications will not be processed. �
• Application(s)and feo(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing wark without permit(s)will resuh in fees being doubled or$100.00 plus the �
normal permit fee,which ever is greater. ;
OR
If vou are a contractor participating in the Permit Fee Account System and have adequate funds check here
if vou wont this processed tfrro�h yoYr account ❑ �
-13 `
DATE `J—I l t
JOB ADDRESS '�J�S �V"'a-�bYl �O1. (���'11�05�'1
OWNER ��JC..,i(�✓11� �U`�-�✓1 -
CONTRACTOR �I�YYI� ��Irt'-C��C- =►'�C-•
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family �Duplex �Mu1ti-Family ORental �ommercial ❑Industrial
SERVICE �D1ew OT�mporary TYPE ❑Overhead ONot Applicable
❑Change ❑Not Applicable ,�Jnderground ,
FILL IN THE APPROPRIATE BLANK WITH TI�NUMBER
Volts ��U /2-y� Receptacles# Z Circuib#�
Phase 'S 1✓1 - A -
Amps IC�O � � Switches# Fiztures# 2
CHECK�1 ALL APPLICABLE
�Range �Dishwasher OGarbage Disposal ClDryer ❑Water Heater r
❑Fan OR Blower ❑Fumace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
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DESCRTPTION OF ALL WORK BEING DONE W�� ���e ��-1 l�� ��' ' '
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VALUE(Tacluding labor and sll m is including li�ht fiztures)$ -1�v O•`�� �
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MASTER ELECTRICIAN ;
3/02
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