HomeMy WebLinkAbout0155598-Electric (light ballasts) � CITY OF OSHKOSH No 155598
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 111 N MAIN ST Owner FIRST WISC NATL BANK OSHKOSH Create Date 04/10/2013
Contractor SUN AND SUN INDUSTRIES INC 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 --- -
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Use/Nature of OMM/CHANGING LIGHTING BALLASTS,ONE FOR ONE "check#13091
Work ' I
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Fees: Val tion $6,278.50 Plan Approval $0.00 Permit Fee Paid $172.00
Issued By: Date 05/13/2013
❑ Permit Voided Parcel Id# 0100300000
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 ur es the permit applicant to contact the easement
holder(s)and to secure any e ssary approvals before sta g su ' ity �
Signature ���l���KJ � Date ,�' �' �,� V �
AgenUOwner
Address 2101 S YALE ST SANTAANA CA 92704 -4424 Teiephone Number (714)210-5141
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
Fax (920)236-5084 HK �I
ON THF WnTER
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 vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds, check here
if vou want this processed through your account ❑
naTE � v � 3 - � -3
JOB ADDRESS l 11 North Main Street,Oshkosh,WI 54901
OWNER US Bank
CONTRACTOR Sun& Sun Industries, Inc.
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable .
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK 0 ALL APPLICABLE '
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE Chan i�n�li�hting ballasts,one for one
VALUE(Including labor and all materials including light fixtures)$6278.50
MASTER ELECTRICIAN `-� /� +'' ti-vl � `� L- � D ✓�� rj
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