HomeMy WebLinkAbout2013-Electric �
� CITY OF OSHKOSH No 154921
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1171-1179 S WASHBURN ST Owner MICHAEL L STRATZ Create Date 03/28/2013
Contractor SLIM'S ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground ;
Volts Circuits Luminaires
Amps Switches Receptacles
Appiiances , - " _._
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Use/Nature of OMM(1171)/WIRE NEW CUBICALSAND INSTALL EMERGENCY LIGHTING *'check#5116
Work
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Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: Date 04/03/2013
� Permit Voided I Parcel Id# 1311940200
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 2608 OAKWOOD CIR __OSHKOSH WI 54904 -8466_ Telephone Number (920)426-5249 :
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.
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5050
ELECTRICAL PERMIT APPLICATION
Al1 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.
If you are a contractor partici atin in the Permit Fee Account System
and have adequate funds, tvpe YES if you want this processed throuqh
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your account
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DATE 03/30/2013
JOB ADDRESS 1173 S.Washburn
OWNER Mike Strauts
CONTRACTOR SLIM'S ELECTRIC INC.
CHECR ALL APPLICABLE
USE CATEGORY Single Family Duplex Multi-Family t Rental
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X Commercial Industrial
SERVICE ' New � Temporary T�E � Not
Overhead Applicable
� Not
Change Applicable Underground
FILL IN THE APPROPRIATE BLANR WITH THE NUMBER
Receptacles -_ _____ �._._._ , __ ._ .
Volts # � Circuits# �
Phase
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Amps Switches# � Fiztures# I
CHECR ALL APPLICABLE
Range Dishwasher Dispo abage : Dryer Heaterater
Fan OR � _... !
Furnace ' A/C Electric
Blower Sign
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Motors P�p as Other�
DESCRIPTION OF AI�L WORR BEING DONE VALUE.
(Including labor and all materials including light fixtures)
Wire new cubicals and ' tall emergency lighting. $
2000. 00
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MASTER ELECTRICIAN � �j� •
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