HomeMy WebLinkAbout2013-Electric (VRAD telepad) � CITY OF OSHKOSH No 156428
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER '
Job Address 225 S WASHBURN ST Owner JOHN DUCHATSCHEK Create Date 06/27/2013
Contractor THOMAS ELECTRIC INC Category 641 -Commercial-New Service Plan
Inspector Adam Krause
Service New 0 Change 0 Temp � N/A Type � Overhead � Underground
Volts 120/240 Circuits Luminaires
Amps 100 Switches Receptacles
Appliances
I
Use/Nature of COMM\VRAD telepad for ATT
Work
�
Fees: Vafuation $650.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: Date O6/27/2013
❑ Permit Voided I Parcel Id# 0616020000
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 a plication within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to cure a y n ssary approva efore tarting such activity.
Signature Date � a��/3
AgenbOwner
Address 576 REDBIRD CIR DE PERE WI 54115 -8785 Telephone Number (920)336-4648
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 Inspecrion Services
P.O.Box 1130 �
Oshkosh,�VI 54903-1130
Phone(920j236-5050
Fax (920)236-�OS4 O�KOf�--�
ON THF tMATFR .
ELECTRICAL PERMIT APPLICATION
All inforuzation 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 1138, .
Oshkosh V�'I 54903-1 I28. Commencing work without permit(s)�vill result in fees being doubled or$100.Q0 plus the '
norma)permit fee,which ever is�eater_
OR
Jf t�ou are n contractor participating in the Perntit Fee Account Svstem and i:ave adeauate�ttnds, check l�ere
if t�ou tii•ant tl:is grocessed thraugh vour account ❑
�A� � �1-/ 3
JOB ADDRESS a as ��� �,b���w _ ___
owrrER �T #` %
CONTRACTOR ' / /zdf'►w�s ��c�t r i�-
CHECK E!ALL APPLICr+�BLE
USE CATEG�RY
�Single Family ❑Duplex ❑Multi-Family C1Rental �Commercial �Industrial
SERr'ICE �tiv'ew ❑Temporary TYPE ❑Overhead ONot Applicable
❑Change ❑Not Applicable �[Jnderground
FILL L�T TAE APPROPRIATE BLANK WITH THE NLTMBER
Volts �Zo / 0'1� Receptacles# Circuits# Z
Phase 1
Amps /6� Switches# Fixtures#
CHECK P1 ALL APPLICABLE
�Range ODishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blo��er �Furnace OA/C �Electric Sign
�Motors OGas Pumps �Other
DE CRIPTI�N OF ALL WORK BEING DONE 1.v��'��. �'r- I� �� L� ` �'P�-e I P�
�0 G tt��
.S� '�
VALUE(Imluding labor and all materiats including light rixtures) $ �, ,
MASTER ELECTRICIAN �.�______
3/02