HomeMy WebLinkAbout0155012 - Add Kitchen (04/11/13) I CITY OF OSHKOSH No 155012
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1014 01-110 ST Owner GOLDEN DRAGON PROPERTIES LLC Create Date 04/11/2013
Contractor HIPKE ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service • New 0 Change 0 Temp • N/A _1 Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of COMM\Add kitchen area
Work
Fees: Valuation $11,000.00 Plan Approval $0.00 Permit Fee Paid $229.00
Issued By: L Date 04/11/2013
D Permit Voided Parcel Id# 1300220000
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 •-rmit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to`- ure any neces a•;) "als •-fore starting such activity.
Signature /,c ,�� ,E-? /`' �!� Date /7/ —/3
Agent/Owner
Address 3418 WOODHAVEN CT APPLETON WI 54913 -7906 Telephone Number (920)850-1713
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
Oshkosh,WI WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHK I JH
ON 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 permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE G/_ /1— / _7
JOB ADDRESS �D a k -[Jra C vt
/`
OWNER / L/ d it,'O .j 1
CONTRACTOR C (vvt/$ C 0--. 71 Le'"%/' `,_„
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental MCommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead ❑Not Applicable
❑Change , Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / 2, /26)i Receptacles# Circuits#
Phase ,3 f!o�-z
Amps Switches# Fixtures#
CHECK Q ALL APPLICABLE �
Ci ge EYDishwasher Er bage Disposal DDryer C+tWater Heater
Wan OR Blower ❑Furnace Q'A/C DElectric Sign
❑Motors ❑Gas Pumps DOther / J ,/ y�
DESCRIPTION OF ALL WORK BEING DONE 41 /'. he /F r^t'k
VALUE(Including labor and all m terials includin light li tures) $ //j DUe9•''/
MASTER ELECTRICIAN Ze r r G
3/02