HomeMy WebLinkAbout0155757-Electric (new service) 3
� CITY OF OSHKOSH No 155757
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 872 CELEBRATION WAY-EAA GROUNDS Owner WINNEBAGO COUNTY Create Date 05/22/2013
Contractor FAITH TECHNOLOGIES, INC. Category 641 -Commercial-New Service Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A � Type � Overhead 0 Underground �
Volts Circuits Luminaires
Amps 1200 Switches Receptacles
Appliances - ,
Use/Nature of OMM(950 CELEBRATION WAY)/ADDING 1200AMP 3 PHASE SERVICE"FORD PROJECT"719001-3001 *`check#982831
Work
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Fees: Valu ion $13,620.00 Plan Approval $0.00 Permit Fee Paid $247.00
Issued By: Date 05/22/2013
� Permit Voided I Parcel Id# 1413690200
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
AgenUOwner
Address PO BOX 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513
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 i�spection is not performed within two business days from the time the project is ready.
Ciry of Oshkosh
Division of Inspection Services ��
P.O. Box I 130 �
Oshkosh,WI54903-1130
Phone(920)236-5050 (
Fax (920)236-5084
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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 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
ljy��u af�e a rn��trpc��rr ��rrir;i��atiy�� in Jhe f���rnit Fee dt;��nu»r �ysl��rr ratzc�' {�crv� arJepzscrle �unds, chc>ek h��rc�
if vuu want this processed through Your account ❑
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JOB ADDttESS "I r�l� l,l�.►(' ���Zl L���� �ir��,�� �C� VED
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�_, ,�_� � ��,�, ��, � I �� MAY 212013
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DEPARTME.7 OF
CHECK Q ALL APPLICABLE C0�4�tU'�iTY�EVELOPrIE:VT
iNSPECTION SERVICES DiFIS10V
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
SERVICE �New ❑Temporary TYPE ❑Overhead ONot Applicable
❑Change �Not Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase -
Amps (Z00 Switches# Fixtures#
CHECK[�ALL APPLICABLE
ORange ❑Dishwasher OGarbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WC)RK BEING DONE '� � �� ` -� �����.i �. �� )�� � '`'' � �� ��('.P.
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VALUE(Including labor and all materials incluciing light fixtures) �__!�.L�i��
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MASTER ELECTRICIAN � 1 �� , ��
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