HomeMy WebLinkAbout0155841-Electric (new service - College Park) � CITY OF OSHKOSH No 155841
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD '
ON THE WATER
Job Address 525 W 20TH AVE Owner WINNEBAGO COUNTY Create Date 05/22/2013
Contractor FAITH TECHNOLOGIES, INC. Category 641 -Commercial-New Service Plan
Inspector Adam Krause
Service New � Change � Temp � N/A � Type � Overhead 0 Underground
Volts 480 Circuits Luminaires
Amps 400 Switches Receptacles
Appliances —
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Use/Nature of COMM(1020 W WAUKAU)/NEW 400 AMP 480 VOLT SERVICE"COLLEGE PARK"719001-3011 "check#982834,983234
Work
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Fees: Valu ion $5,923.20 Plan Approval $0.00 Permit Fee Paid $155.00
Issued By:��LV Date 05/28/2013
❑ Permit Voided �, Parcel Id# 1413530000
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 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 1 t 30
Oshkosh,WI 54903-1130 ;
Phone(920)236-5050
Fax (920)236-5084 �
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ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomp(ete 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.
� c •�i r�R nr r ' Nin in I 'et•nr' Fe� °-n S�r!��� tt� rv> >I> 'l ' li� e �
�v��• w�»a this nrocessed throu�h vour accoun! ❑
nAZ•F �� l`� 2013
` 1 RE�EIVED
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CHECK�ALL APPLICABLE °Epa `�'�'���F�F
C0�1�4U\�'T'�-;)E�'ELOP�fEVT
INSPECTIOV;>�R�'10ES Dl�'ISIOV :
USE CATEGORY
❑Single Farnily ODuplex OMulti-Family ❑Rental �Commercial OIndustrial
SERVICE ONew �Temporary TYPE ❑Overhead ❑Not Applicable
OChange ONot Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITii THE NUMBEIt
Volts � ! Receptacles# Circuits#
Phase_,
Amps ��- Switches# Fixtures#
CHECK 0 ALL APPLTCABLE
ORange ❑Dishwasher ❑Garbage Disposal ODryer ❑Water Heater
❑Fan OR Blower �Fumace OA/C ❑Electric Sign
❑Motors OGas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING C)t3N� � ��N "ti ) � L�_��� �1��� �5��� ��� �
li � J - � � `" �� '' ��
��.�. ,�� ,� .��
VALUE(Including labor and al�naterials inclu�ing li ht fixtE� ca)�
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MASTER ELECTRICIAN �. ���jCJ/
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