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Home My WebLink About0155941-Electric � � CITY OF OSHKOSH No 155941 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 500 S OAKWOOD RD Owner MERCY MEDICAL CENTER OSH INC Create Date 05/04/2013 Contractor PIEPER ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan Inspector Adam Krause Service � New � Change � Temp � N/A � Type 0 Overhead 0 Underground i Volts Circuits Luminaires Amps Switches Receptacles Appliances Use/Nature of COMM/Remodel existing rooms(IH565 o�ce, IH570 case management, IH555 vestiblule and IH560 o�ce)to create a coffee shop Work and food prep area.(Job#291529) "check#28225 � � Fees: Valuation $17,192.00 Plan Approval $0.00 Permit Fee Paid $271.00 Issued By: �L� Date O6/03/2013 ❑ Permit Voided i Parcel Id# 0613660000 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 5070 N 35TH ST MILWAUKEE WI 53209 -5302 Telephone Number (414)462-7700 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. �9,�aq City of Oshkosh Division of Inspection Services � P.O.Box 1130 � Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 O��/("1��f I\LJJ 1 I .n.1�7Hr V�ATFQ ELECTRICAL PERMIT APPLICATION Att mformation after bold categories must be provided. Incomplete applications will not be processed_ • Application(s)and fee(s)can be brought ta City I�all,Room 205 or mailed to Inspection Services,PO Box 1128, Oshkosh WI 54903-1128. Commencing work without pemut(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 narticinatine in the Permit Fee Account Svstem and have adeauate funds check here rfvou want thts nrocessed through vou�• accosnt ❑ , DATE .�o�c3 �� JOB ADDRESS��3 �• �4JG�Opd O�VNER c c e 1 r�cr 12ECEIVELI CONTRACTOR t ,ec -�r�� MAY 2 9 2013 CHECK Q ALL APPLICABLE i a'c Tr_.:� � "'�- �`j. . USE CATEGORY coan t -�' .__ ��ts�vT �1SPEF-�':�'^ c:,� ,�,�"i._ �; SiOV OSingle Family ❑Duplex OMulti-Family ❑Rental �ommercia�C ❑Zndustrial��' �� SERVICE �New ❑Temporary TYPE ❑Overhead �Vot Applicable ❑Change �Not Applicable DUnderground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK E1 ALL APPLICABLE ORange �Dishwasher OGarbage Disposal ODryer ❑Water Heater ❑Fan OR Blower ❑Furnace �A/C �El 'c Sign � ❑Motors ❑Gas Pumps ❑Other ��1z��.� «»oaie � D RIPTION OF ALL WORK BEING DO E � � �h o� VALUE(Inciuding labor and all materials induding lig6t fixtures)� �� (�a` MASTER ELECTRICIAN i � �# a9�sa� 1 _ � a�� ,. 3,oz �� rn,,-t' ��,�