HomeMy WebLinkAbout0155312-Electric (wiring for equipment shelter) 0 CITY OF OSHKOSH No 155312
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 825 N WASHBURN ST Owner MILLER INVESTMENTS INC Create Date 04/26/2013
Contractor TEAM SERVICES INC Category 653-Industrial-Addition/Remodels Plan
Inspector Adam Krause
Service New O Change 0 Temp O N/A j Type O Overhead • Underground
Volts 120/240 Circuits Luminaires
Amps 800 Switches - Receptacles
Appliances
Use/Nature of COMM\P&I conduit+wiring for cell site euipment shelter. P&I multi-gang meterpack with 800 amp 120/240 V service "check#66000
Work
Fees: Valuation $8,000.00 Plan Approval $0.00 Permit Fee Paid $189.00
Issued By: , '
t (ij Date 04/29/2013
J ❑ Permit Voided Parcel Id# 1621010000
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 2602 AMERICAN DR APPLETON WI 54914 -9010 Telephone Number (920)738-5885
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.
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City of Oshkosh
Division of Inspection Services
P.O.Box
Oshkosh,WI WI 54903-1130
tiler
Phone(920)236-5050
Fax (920)236-5084 JfHKOJH
ON THE WATER I J
ELECTRICAL PERMIT APPLICATION
�C 1 -b r All information after bold categories must be provided.
J l 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 ❑ u 1
DATE `'^'11-\--33`?j
JOB ADDRESS \r 8thhu r n r e}
OWNER �T d
CONTRACTOR Teary }1PAN PS Try'
CHECK El ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family [Mental Commercial ❑Industrial
SERVICE°flew ❑Temporary TYPE ❑Overhead ONot Applicable
❑Change ❑Not Applicable - Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts (2-0 / 2"/'G Receptacles# Circuits#
Phase $►■ c) `e._
Amps bj'cT Switches# Fixtures#
CHECK I l ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps Other GA I - it;,,�
DESCRIPTION OF ALL WORK BEING DONE T p
-l-r C- -- .cL ,
e e..1 I ,S:+a . f a. :
VALUE(Including labor and all materials includi' light fixtures)$ UI( 0 4r169.00
MASTER ELECTRICIAN J1114-01:4 fry, Q .----
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