HomeMy WebLinkAbout0156735-Electric (outdoor lighting) 4
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� CITY OF OSHKOSH No �ss�35
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 212 OHIO ST Owner IAM PROPERTIES LLC Create Date 07/17/2013
Contractor FOLSKE ELECTRICAL SERVICES LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service � New � Change � Temp � N/A ,�i Type � Overhead � Underground '
Volts Circuits Luminaires
Amps ___ Switches Receptacles
Appliances -- -- ---- -- ---
I
�I
Use/Nature of OMM/INSTALL OUTDOOR LIGHTING "check#2800
Work '
�
I — ----
Fees: Valuati $3,500.00 Plan Approval $0.00 Permit Fee Paid $121.00
Issued By: (� Date 07l17l2013
� Permit Voided � Parcel Id# 0600020100
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and t ecur an ne ary pprovals before starting such activity.
Signatu�e Date � 1 � ��
Agent/Owner
Address 4285 RIPPLE AVE OSHKOSH WI 54904 -6868 Telephone Number (920)420-2798 :
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified othenaise,we will assume the project is ready at the time the request is received. Work may :
continue if the inspection is not pertormed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone(920)236-5050 O.IHKO.IH
F� (920)236-5084
ON THF WATFR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$]00.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participatinP in the Permit Fee Account Svstem and have adeguate funds, check here
if vou want this processed throu�vour account ❑
DATE I� �� �
JOB ADDRESS ��� O��� ����
OWNER ��C� C � C� �t�.�
CONTRACTOR `.S�' �.Q �`(rC C"�ec,�
CHECK Lf ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑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�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
(\�.1� G�2_ l\G �S
VALUE(Including labor and all materials including light fixtures) $ �,JI,V'w
MASTER ELECTRICIAN ��9L ��
3/02
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