HomeMy WebLinkAbout2013-Electric /�'� CITY OF OSHKOSH No 156081
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1900-1928 S WASHBURN ST Owner TODD ARNOLDUSSEN/MARK HARTZHEIM Create Date 05/29/2013
Contractor SCHEIDECKER ELECTRIC SERVICE 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 COMM/Remodel office space. Install some new recept.and lights.
Work
�
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $104.00
Issued By: ,�� Date 06/10/2013
0
� Permit Voided!i Parcel Id# 1316360000
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 an n cessa before starting such activity.
Signature Date �U^ ��
AgenUOwner
Address 325 BAL IN AVE OSHKOSH WI 54901 -3814 Telephone Number (920)279-1392
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 Of HKO.IH
ON THF WATFR
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 adequate funds, check here
�vou want this processed throu�vour account ❑
DATE f9`�I �" � �
JOB ADDRESS f ��� �%CC��/DGtl�✓1 ,�
OWNER `�^'�/L �C` �'
CONTRACTOR ��ii<<1 Q��.C�P (� � I�G(Y'c�-�C�
CHECK�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 G�1 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 � 6` �L� ��-
Gt��
VALUE(Including labor and all materials including light fixtures) ��'��
MASTER ELECTRICIAN
3/02