HomeMy WebLinkAbout0156741-Electric (service, gates & pole) €
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� CITY OF OSHKOSH No 156741 z
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OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 525 W 20TH AVE Owner WINNEBAGO COUNTY Create Date 05l10/2013
Contractor NORTHERN ELECTRIC INC _ Category 643-Commercial-Addition/Remodels Pian
inspector Adam Krause
Service � New � Change � Temp � N/A ' Type � Overhead � Underground �
Volts _ Circuits 7 Luminaires 1
Amps Switches Receptacles 7
Appliances
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Use/Nature of COMM/(3)ELECTRIC GATES,MOVING A SERVICE AND PROVIDING NEW METER AND PANEL, (1)NEW POLE LIGHT "check I
Work �50307 ,
""County sheriff building-Located NW of control tower"
' "'PENDING ADDITIONAL$32.50**
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Fees: Valuation $ 8,080.00 Pian Approval $0.00 Pertnit Fee Paid $419.50
Issued By: Date 07/17/2013
❑ Permit Voided'� Parcel Id# 1413530000
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 314 N DANZ AVE GREEN BAY WI 54302 -3526 Telephone Number (920)468-6000
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of t
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,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 '� ' `
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ELECTRICAL PERMIT APPLICATION MAY 0 9 2013
All information after bold categories must be provided. '
Incomplete applications will not be processed. ��.�:�::,�•a-;,�e•;z oF �
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� Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection°S��fvi���;��I��4E���o.N
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 participatingin the Permit Fee Account Svstem and have adequate funds check here
if vou want thisprocessed throu�vour account ❑
DATE 5���2�i5
JOB ADDRESS .S�2S (�. ZO� vL y
OWNER �.✓[��-.Mrw ��e;��I ��e�'F
CONTRACTOR /Vo����-��;c
CHECK 0 ALL APPLICABLE �
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USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable '
❑Change ❑Not Applicable �ITnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /Z° / Z f'° � Receptacles# � Circuits#�
Phase Sr...�1� /
Amps 2av Switches# Fixtures# /
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CHECK 0 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
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• 7
C�v1T v�f oJ �o I z �nLd�
VALUE(Including labor and all materials includ' g light fixtures) $ B O� cr0
MASTER ELECTRICIAN I���l�i
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