HomeMy WebLinkAbout2013-Electric I�"+ CITY OF OSHKOSH No �57ass
OSHKOSH ELECTRIC PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 1090 N WASHBURN ST Owner KWIK TRIP Create Date 08/16/2013
Contractor TD PADESKY ELECTRIC INC Category 642-Commercial-New Building Wiring Plan
Inspector Adam Krause
Service i� New � Change � Temp 0 N/A Type � Overhead � Underground
Volts 208/120 Circuits 360 Luminaires 264
Amps 600 Switches 25 Receptacles 150
Appliances Fan or Blower,Motors,Gas Pumps,A/C, Electric Sign,Communication&Data
---- _ _ --
Use/Nature of OMM(KWIK TRIP)/CONSTRUCTION OF A NEW CONVENIENCE STORE,2 BAY CAR WASH,GAS ISLANDS,CANOPY,
Work IGNAGE, LOT WORK, POWER AND COMMUNICATION AND TEMPORARY ELECTRIC SERVICE **check#34761
I
Fees: Valuation $270,000.00 Plan Approval $0.00 Permit Fee Paid $1,158.00
Issued By: �� Date 08l30/2013
❑ Permit Voided I Parcel Id#
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 PO BOX 935 _LA CROSSE WI 54602 -935 Telephone Number (608)783-0737
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 Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 u
i i
ON THF`,<lATFR
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be providod.
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 peimit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR '
If vou are a contractor participatinP in the Permit Fee Account Svstem and have adeguate funds check here
if vou want this yrocessed throu�h vour account ❑
DATE A�/c�• 'ZS—.20i3
� —
JOB ADDRESS �090/r• ��-f�YBI/�N �
OWNER �C'w�,c �.�id .r•✓o. REC]EIVED
CONTRACTOR T,0' �°���y �G� .r�� AU G 3 0 2013
CHECK ALL APPLICABLE DEA��RT:�1E�'f OF ,
C0�1�tr'•�TTY DEVELOPMEDIT
USE CATEGORY t�v�ecT�o�s�R�'�CES Di�'IS1Q'�
Single Family Duplex Multi-Family Rental Comme�rcial Industrial
SERVICE New Temp rary TYPE Over'head� Not Applicable
Change Not Applicable Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts .2D$ / /�'� Receptacles# �'�v Circuits# .�6 D
Phsse � -/
Amps roDO �'�� Switches# •Z� Fiztures# �Z 6 7"
CHECK ALL APPLICABLE
Range Dishwasher Garbage Disposal Dryer Water Heater
�an OR Blower Furnace ✓A/C �lectric Sign
riGlotors ✓Gas Pumps Other CONMwdK,rp,B� �-O,QJ'/�
DESCRIPTION OF ALL WORK BEING DONE �J��E��Gr�4� 5��� rZ�y�i.���/
G.�s is�i��o s, c�doPy S"/G �AG►�. !.d 7' k/C�.rC. �a� ,���.+«�.�,�►;�,�, ,
��Jt�O?��'if/ �li�'GYl1LG S�v<C�
VALUE(Including labor and all materi luding light fiztures)$a��,��. +� S �� ��.�� �C
� d
MASTER ELECTRICIAN �� . � ��7��Slo
3/02