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Home My WebLink About2013-Electric � CITY OF OSHKOSH No 155365 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1302 S MAIN ST Owner ADAPTIVE PROPERTIES LLC Create Date 05/01/2013 Contractor VAN OFFEREN ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan Inspector Adam Krause Service New � Change � Temp � N/A Type � Overhead � Underground � Volts Circuits Luminaires Amps Switches Receptacles Appliances Use/Nature of COMM\Wire offices,installl emergency egress lighting Work Fees: Valuation $20,000.00 Plan Approval $0.00 Permit Fee Paid $283.00 Issued By: �— Date 05/01/2013 ❑ Permit Voided� Parcel Id# 0304270000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the Ciry 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 secu ss pprovals before starting such activity. Signature Date AgenbOwner 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 Fa�c (920)236-5084 01HK01H ON THF 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$100.00 plus the : normal permit fee,which ever is greater. OR �vou are a coniractor participating in the Permit Fee Account Svstem and have adequate funds, check here � � i�you want this processed through vour account ❑ DATE � d� � JOB ADDRESS �� • �c'�n �/ - OWNER cc ' G, `n- `�l CONTRACTOR G�'1 �e�✓1 G Pt-n"�Z CHECK 0 ALL APPLICABLE USE CATEGORY ❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑Industrial SERVICE �New ❑Temporary TYPE ❑Overhead ❑Not Applicable ❑Change �Not Applicable OUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other : DESCRIPTION OF A WORK BEING DONE `J'�. o�7' �P i� C C °/�� leSs VALUE(Including labor and all materials including light fixtures)$�(�� MASTER ELECTRICIAN__/L�b (/G�-�— ��--- 3/02 �307 r��Q�