HomeMy WebLinkAbout0156695-Electric (boiler) /�'� CITY OF OSHKOSH No 156695
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 315 ALGOMA BLVD Owner WIS BELL INC Create Date 07/15/2013
Contractor VAN ERT ELECTRIC CO INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A� Type � Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances -- - ----- '
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Use/Nature of OMM/BOILER REPLACEMENT PROJECT(F3303-A) **check#4110
Work
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Fees: Valuation $14,253.00 Plan Approval $0.00 Permit Fee Paid $253.00
Issued By: �W Date 07/15/2013
❑ Permit Voided � Parcel Id# 0101220000
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 2000 PROGRESS WAY KAUKUANA WI 54130 -9562 Telephone Number (920)766-3888
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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Ciry of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 O �(O �J
1\ 1 I
ON THF WATFR .
ELECTRICAL PERMIT APPLICATION
All informadon after bald categories must be provided.
Incomplete a�plications 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
Lvou are a contraclor participating in the Permit Fee Account Svstene and have adequnte funds check here
if vou want this processed through vour account ❑
DATE �— !� �`�
JOB ADDRESS / � ��
owrrER T
CONTRACTOR � � �i
CHECK BI ALL APPLICABLE
USE CATEGORY :
❑Single Family ❑Duplex �Multi-Family ❑Rental �ommercial ❑Industrial
SERVICE �New C]Temporary TYPE ❑Overhead �Not Applicable
�Change ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH TI�NUMBER
Volts / Receptacles# Circnits#
Phase
Amps Switches# Firtures#
CHECK H ALL APPLICABLE
❑Range �Dishwasher CJGarbageDisposal . C]Dryer ❑WaterHeater
�Fan OR Blower ❑Furnace L7A/C OElectric Sign
❑Motors ❑Gas Pumps �Other
DESCRIPTION OF ALL WORK BEING DONE��Q �-P�1/��(�J� �{ �
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VALUE(Including labor and all materials inclu g light fiztures)��, ,�i��• ��
MASTER ELECTRICIAN �� ( ��lJ
3/02
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