HomeMy WebLinkAbout0155102 - Electric CD CITY OF OSHKOSH No 155102
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2415 WESTOWNE AVE Owner OSHKOSH GROCERS LLC Create Date 04/17/2013
Contractor J&M ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 10 New 0 Change O Temp • N/A Type 0 Overhead O Underground
Volts Circuits 1 Luminaires 10
Amps Switches _ 1 Receptacles 5
Appliances
Use/Nature of 'COMM(ASSOCIATED BANK)/MINOR INTERIOR REMODEL **check#16306
Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By:
Date 04/17/2013
❑ Permit Voided Parcel Id# 1621650200
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 2222 MINNESOTA OSHKOSH WI 54902 -7022 _ Telephone Number (920)303-2073
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
14)10Pr
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 ON �(
THP ATEA
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 throutrh your account ❑
DATE 41 ?-" 13
pp
JOB ADDRESS a� t 63.E S rc�w N 6 I V Srt
OWNER AS DCCC.l PVT e0 �RuK 1
CONTRACTOR .�. �}-�N -'�'i C- t L W C- •
CHECK®ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family [Mental $Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead aslot Applicable
❑Change Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# 5 Circuits# I
Phase
Amps Switches# t Fixtures# t C
CHECK®ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal [Wryer OWater Heater
OFan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE (V N 0 Ft t
VALUE(Including labor and all materials including light fixtures)$ ) 00.')
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MASTER ELECTRICIAN
3/02