HomeMy WebLinkAbout2013-Electric el) CITY OF OSHKOSH No 154998
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 515 S WASHBURN ST Owner COMPASS PROPERTIES LLC Create Date 04/11/2013
Contractor VAN OFFEREN ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service p New 0 Change 0 Temp • N/A Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances -
Use/Nature of OMM1 Interior remodel-adding recepts. lighting, rework reception -
Work
Fees: Valuation $5,200.00 Plan Approval $0.00 Permit Fee Paid $155.00
Issued By: Date 04/11/2013
❑ Permit Voidedj Parcel Id# 0614620000
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 ary -4rovals before starting such activity.
Signature i 6(/ Date
Agent/Owner
Address PO BOX 98 SHERWOOD WI 54169 -5681 Telephone Number (920)428-4160
•
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 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
ON THE WATFR
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 ade uate funds, check here
if you want this processed through your account ❑
DATE
/ /3
JOB ADDRESS $/$ Ue-5 ac/iis
OWNER A)tt /A-A-
CONTRACTOR t. 07471-e-ie-i-•
CHECK El ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Pkommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE DOverhead lot Applicable
❑Change lot Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK Q ALL APPLICABLE
❑Range DDishwasher ❑Garbage Disposal DDryer DWater Heater
DFan OR Blower DFurnace DA/C DElectric Sign
❑Motors ❑Gas Pumps ❑Otheer/f
DESCRIPTION OF ALL WORK BEING DONE /`�C�` it) `'r c 4 h ' e ae7. .
re C�/d I / , eft-ft4 po i✓Cr- - C t) �j r� , 4 /6-t S.S
VALUE(Including labor and all materials including light fixtures) $ $ C 0
MASTER ELECTRICIAN 'C Vin (7 1"^
3/02