HomeMy WebLinkAbout0156010-Electric � CITY OF OSHKOSH No 156010
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2261-2299 WESTOWNE AVE Owner WESTOWNE SHOPPES LLC Create Date 06/05/2013
Contractor CF POWER 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 enant space remodel for yogurt shop
Work
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Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By: ���,. Date 06/05/2013
❑ Permit Voided� Parcel Id# 1621650400
In the performance of ' work I agree to perform all work pursuant to rules governing the described construction.
While the City of O os s no authori o enforce easement restrictions of which it is not a party, if you perform the work
described in this p rmit a lication withi an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to ecure n n ssa appr als be ' g such activiry.
Signature ��
Date
AgenbOwner
Address 834 KONEN RD MT CALVARY WI 53057 -9746 Telephone Number (920)923-3954
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.
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City of Oshkosh
Division of Inspection Services
P.O.Box 1130 �
Oshkosh,WI54903-1130 �
Phone(920)236-5050
Fax (920)236-5084 � r� ��.\�H
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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 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor particinatine in the Permit Fee Account Svstem and have adequate funds check here
If vou want this nrocessed through vour account ❑
) , nATE �:5�-� 3
JOB ADDRESS_ �O`-�� �.�'rU yy"� :
OWNER Gt�57G7,uw� PROF��R. (!CS
CONTRACTOR � ,'��,�J��
CHECK Q ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change �Qot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts � / �,c��j Receptacles#�_
Phase 3 Circuits# �� .
Amps �� Switches#
Fixtures# �
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CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑D er
❑Fan OR Blower ❑Furnace p�C �' �ater Heater
❑Motors ❑Gas Pumps ❑Other �Electric Sign
DESCRIPTION OF ALL WORK BEING DONE
�lti�� �SP�- f?�r�.�{L
VALUE(Including labor and all mat ia n luding t t`�tures)$ c��j
MASTER ELECTRICIAN �
3/02