HomeMy WebLinkAbout0156773-Electric (4 lot poles) � CITY OF OSHKOSH No 156773
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2200 BADGER AVE Owner CURWOOD INC Create Date 07/18/2013
Contractor NORTHLAND ELECTRICAL SERVICES L Category 653-Industrial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change � Temp � N/A 'I Type � Overhead � Underground _�
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances � :
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Use/Nature of IIND\4 Lot poles �
Work
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Fees: Valuation 500.00 Plan Approval $0.00 PermitFee Paid $229.00
Issued By: Date 07/18/2013 �
❑ Permit Voided Parcel Id# 1325000000
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 1100 ORVILLE DR NEW LONDON WI 54961 -9418 Telephone Number (920)531-1197
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- Inspection Services Division - Electrical Permit Application Page 1 of 2
Division of Inspection Services ��c�IVED
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130 JUL 18 2013
Fax (920) 236-5084
Phone (920) 236-5050
UEPART�tE�T OF
C0�411U�ITY DE�'ELOP�1ENT .
ELECTRICAL PERMIT APPLICATION »specr�o`seRVicesun�isio�
All information with * next to it 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.
If you are a contractor aarticiaating in the Permit Fee Account Svstem and have adequate
fund�. ±vue YE5 :f�,�c��s wan±this arocessed �hrauc�h vour account
_�.. _.�. _._.�._ �. _.
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*)OB ADDRESS ��`"� ��� V�n � �
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*OWNER �-��oo
*CONTRACTOR /�/Od-�� t—l�CTf��.a l �/�U�C-c S �CIo�D, S30 '2�3� �
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*USE CATEGORY
°�` Single Family '�'Duplex "m'°Multi-Family #�� Rental �Commercial �` Industrial
*SERVICE
�' New �'` Temporary �' Change ?�Not Applicable
*TYPE
�''Overhead �'� Not Applicable �`:' Underground ��
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
__ _ _
Volts Receptacles Circuits
Phase �- -._._.__,
__"�
Amps Switches Fixtures X �-'
http://www.ci.oshkosh.wi.us/Community_Development/Inspection_Services/Permit_App_... 7/16/2013
City of Oshkosh- Inspection Services Division- Electrical Permit Application Page 2 of 2
CHECK ALL APPLICABLE
0 Range �Dishwasher Q Garbage Disposal �Dryer
�Water Hea�ter ����Fan OR Blower �.� ����
„
r ' Furnace _.�A/C
�.
__._. _
�Electric Si n ❑Motors ❑Gas Pump Other L,'� � S
*DESCRIPTION OF ALL WORK BEING DONE
i.�s l� �l ��-(� l�� I�� �ol.�s �,,� 0. ��,_ k; l��- �.��.����.. �
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*�ALUE�ncludinc�labor and all materials i li ht fixtures)
/D, �d D. `�_ _ � �
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*MASTER ELECTRICIAN
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http://www.ci.oshkosh.wi.us/Community_Development/Inspection_Services/Permit App_... 7/16/2013