HomeMy WebLinkAbout0156291-Electric (white box) � CITY OF OSHKOSH No 156291
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ONTHEWATER S3"S_j3 �
Job Address 1810-1816 JACKSON ST Owner FAIRACRES LLC/MAJERS LLC Create Date 06/19/2013
Contractor HULLAR ELECTRIC LLC _ _ Category 642-Commercial-New Building Wiring Plan
Inspector Adam Krause
Service New � Change � Temp � N/A 'I Type � Overhead � Underground
Volts 120/208 Circuits 4 Luminaires
Amps 400 Switches __ 2 Receptacles 6
Appliances — --
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Use/Nature of OMM(PIZZA HUT-1814)/WHITE BOX FOR NEW TENANT *"CHECK#3515
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Work
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Fees: Valuation $7,800.00 Plan Approval $0.00 Permit Fee Paid $189.00
Issued By: Date 06/19/2013
� Permit Voided I Parcel Id# 1514970200
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
Agent/Owner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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 No 156291
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1810-1816 JACKSON ST Owner FAIR ACRES LLC/MAJERS LLC Create Date 06/19/2013
Contractor HULLAR ELECTRIC LLC Category 642-Commercial-New Building Wiring Plan
Inspector Adam Krause '
Service , New � Change � Temp � N/A Type � Overhead � Underground I
Volts 120/208 Circuits 4 Luminaires
Amps 400 Switches 2 Receptacles 6
Appliances
Use/Nature of OMM(PIZZA HUT-1812)/WHITE BOX FOR NEW TENANT '*CHECK#3515
Work
�
Fees: Valu on $7,800.00 Plan Approval $0.00 Permit Fee Paid $189.00
Issued By: �(�U Date 06/19/2013
❑ Permit Voided'I Parcel Id# 1514970200
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 worfc
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 nece provals bef arting such activity. /�
Signature Date !o ��f/
AgenUOwner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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 54903-1 1 30
Phone(920)236-5050
F� (920)236-5084 Of HKOlH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
�you are a contractor participatins in the Permit Fee Account Svstem and have adequate funds, check here
ifvou want this processed throu�h vour account ❑
DATE 6 l c/ 1�.�
JOB ADDRESS I�j I Z ✓�cK e,»
OWNER i1 h v I.� n G��o-ui�
CONTRACTOR f-�����- �/�o���C
CHECK 0 ALL APPLICABLE
USE CATEGORY ��
❑Single Family ❑Duplex ❑Multi-Family ❑Rental L�Commercial ❑Industrial
SERVICE �New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts � [0 / ?� Receptacles# � Circuits#�
Phase 3
Amps �c� Switches# � Fixtures#
CHECK Q ALL APPLICABLE
❑Range �Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE �✓�- � �j v,r -�Tr(i� ��L
�I 11 � � f C C_ � -C �`'� �� �
VALUE(Including labor and all materials including I'ght fixtures)$ �b �U, �,t�
MASTER ELECTRICIAN
3/02