HomeMy WebLinkAbout0154855-Electric �
� CITY OF OSHKOSH No 154855
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3420 JACKSON ST Owner REILLY REAL ESTATE LLC Create Date 03/25/2013
. Contractor SPECIALTY ELECTRIC&DATA Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change � Temp � N/A ' Type � Overhead � Underground �
Volts Circuits Luminaires 12
Amps Switches Receptacles 20
Appliances - -
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Use/Nature of OMM/REMODEL OFFICE AND SHOWROOM TO INCLUDE LIGHTING AND RECEPTACLES *'check#1634
Work
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Fees: Valuat' n $6,000.00 Plan Approval $0.00 Permit Fee Paid $155.00
Issued By: ( Date 03/27/2013
❑ Permit Voided Parcel Id# 1519603901
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 ne�essary approvals b�re starting s�l�i• activity.
Signature `yJ a„�,�,,�1 � Date 3 ) �J
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AgenbOwner
Address W8228 PLEASANT VIEW LN WAUTOMA WI 54982 -5310 Tetephone Number (920)765-2548
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 Inspeatioa Services � ;
P.O.Box 1130 � � �
Oshkosh,WI 54903-1130 � �
Phone(92U)236-SOSO �
Fax (920)236-5084 i
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ELECTRICAL PERMIT APPLICATION �
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����oA�t�ia���c��oria�a. _
Incompkte applications will not be processad. �
• Application(s)and foo(s)can be brought to City Hall,Room 205 or mailod to Inspection Services,PO Box 1128, `
Oshkosh WI 54903-I 128. Commencing work witi�out permit(s)will resuh in fces being doubled or 5100.00 plus ihe F
normal permit feq which ever is greaber. �
OR �
It vot� �re a contractor narticinati�Q in the Perrxit Fee Ac��ttnt Svste�e and have adequate fundr eheck 6ere 4 �
if vou want thla nroceased througl�yorrr occor�nt ❑ � ;
DATE 3 y V \�\� � `
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JOB ADDRESS ���O Sc,c.�-Scr r� I
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OWNER `�`G. , � �C�c� • 5 �r 4
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COI�ITRACTOR S � � � �� �`�� �
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CHECK 0 ALL APPLICABLE �
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USE CATEGORY i
❑Singl�Family ODuplex �Multi Family ORontal �Commercial �Industrial {
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SERVICE ONt�r OT�mporary TYPE �Overhead C]Not Applicable �
�Change �ot Applicabk OUndergmund �
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FILL IN THE APPROPRIATE BLANK WITH T�NUMBER �
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Volts / Reeeptacles# �_ Circuib� F
PtiASe �
�P$ S�vitches�! Fizt'res# ��a pi
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CHECK 0 ALL APPLICABLE �
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�Range �Dishwasher DGarbage DisPosal . �Dr�'er �Water Heat�r � �
OFan OR Blower OFuroace OA/C DElectric Siga � €
OMotors �Gas Pumps DOther �
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DESCRIPTION OF ALL WORK BEING DONE �r,..�r.c�� !� ��� r_ .a.< 6��.1
S�.c► •r.r� . \..: _ht:•r c�����_
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VALUE(Inciodi■g l�bor snd sll msterish inclndin�1ig�t 8ztura)� C. .C)b� �
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MASTER ELECTRICIAN '�Z �
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3/02 �
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