HomeMy WebLinkAbout0155009 - Electric (wire silk screen dryer) CITY OF OSHKOSH No 155009
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 540 W 7TH AVE Owner DAVID URITA M DARABOSH Create Date 04/11/2013_
Contractor SCHAFER ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New O Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits _ 2 Luminaires
Amps Switches Receptacles 1
Appliances
Use/Nature of COMM/WIRE SILK SCREEN DRYER **check#14532
Work
Fees: Valuation \ $275.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: S?�'Y) Date 04/11/2013
❑ Permit Voided Parcel Id# 0600680000
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 6364 COUNTY ROAD A NEENAH WI 54956 -9717 Telephone Number (920)725-2031
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.
Di io of Oshkosh
Division sion of Inspection Services
P.O.Box 1130
(1--14111Dir
Oshkosh,WI 54903-11.30
Phone(920)236-5050 QIHKOIH
Fax (920)236-5084 I 1
OM THE WATER
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 permits)will result in fees being doubled or$100.00 plus the
• normal permit fee,which ever is greater.
OR •
on are a contractor artici,atin: in the Permit Fee Account S stem and have odes mate unds check here
if you want this processed through your account El
DATE y-/O- /3
JOB ADDRESS .s 't W. 7
OWNER - �2lfnrt. �dQ.�-L
CONTRACTOR Ave...
CHECK El ALL APPLICABLE
USE CATEGORY --//
(Mingle Family ODuplex ®Multi-Family ORental 1�Commercial [industrial
SERVICE ®New ®Temporary TYPE °Overheadot Applicable
®Change pivot Applicable °Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts I Receptacles# ! Circuits#
Phase
Amps Switches# Fixtures#
CHECK H ALL APPLICABLE
°Range ®Dishwasher ®Garbage Disposal ®Dryer DWater Heater
OFan OR Blower ®Furnace DAJC ®Electric Sign
OMotors OGas Pumps [Other 11
DESCRIPTION OF ALL WORK BEING DONE �✓ttie, iA iveA 1411.- �yL
VALUE(Including labor and all materials including light fixtures) I �.1�i" f W 3Q•°O
.MASTER FJjFCTRICIAN , a 41'
3/02
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