HomeMy WebLinkAbout0155109 - Electric (rough in lower lights) CITY OF OSHKOSH No 155109
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 440 W SOUTH PARK AVE Owner LORENZ L RANGELOFF Create Date 04/18/2013
Contractor T RUCK ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service O New O Change O Temp • N/A J Type O Overhead O Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances — — -- —
Use/Nature of 'COMM/ROUGH IN LOWER LEVEL CAN LIGHTS AND OUTLETS **check#8393
Work
Fees: Val tion $3,000.00 Plan Approval $0.00 Permit Fee Paid $104.00
Issued By: Date 04/18/2013
❑ Permit Voided Parcel Id# 0906930000
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 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
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.Q. Box 1130
Apir)
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
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 54903-1 128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
vale are a contractor Dartirrryntin an the P
rf eou want this roeessed throw h •our account It Fee Account System and have ade wale •itnds ever r.er.
44b `_ 1 .�.JOB ADDRESS !�! —�-�-t--
OWNER
CONTRACTOR . .
•
CHECK Ei ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplex ❑Multi-Family ❑Rental
Ei}COmmercial ❑Industrial
SERY"ICE ONew °Temporary
❑Change °Not Applicable TYPE °Overhead CJNot Applicable
°Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # ✓
Phase Circuits # ✓
Amps Switches# ✓ �.�
Fixtures#
CHECK H ALL APPLICABLE
°Range ❑Dishwasher °Garbage Disposal
❑Fan OR Blower °Furnace °A/C D Eect lectr Clti�ater Heater
Motors OGas Pumps DOther ric Sign
❑
DESCRIPTION OF ALL WO . BEING DONE_
„ �. ►1 er..i Qv. S
VALUE (Including labor and all ate 'al including light fixtures) $
/04-
MASTER ELECTRICIA