HomeMy WebLinkAbout0155351 - Electric (refeeding fuard shack) CITY OF OSHKOSH No 155351
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 228 W 6TH AVE Owner SIX RIVERS INVESTMENTS LLC _ Create Date 04/30/2013 _
Contractor APEX ELECTRICAL SOLUTIONS INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service ❑ New O Change 0 Temp • N/A Type O Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles _
Appliances
Use/Nature of COMM I /RE-FEEDING GUARD SHACK **check#7664
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By�W Date 04/30/2013
❑ Permit Voided Parcel Id# 0900010000
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 N7926 LAKE BREEZE DR SHERWOOD WI 54169 -9623 Telephone Number (920)486-1176
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 Oshkosh
Division n of Inspecrion Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 OlHKOf H
Fax (920)236-5084
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE / `>/
JOB ADDRESS , (k `)
OWNER S y R i u Pr c -T6'\ u e s*M P(ktl5 LLC
CONTRACTOR B Y's �\ fr f SCI I utIc.A 5
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplex ❑Multi-Family ❑Rental likCommercial ❑Industrial
SERVICE ONew ❑Temporary TYPE `Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1?() / Receptacles# Circuits#
Phase
Amps I co Switches# Fixtures#
CHECK H ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE R eC'� , &A C t.��' S V'`� k
5 �
oCT
VALUE (Including labor and all m•terials• cludi) ight fixtures)$
MASTER ELECTRICIAN 't AL". 7
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