HomeMy WebLinkAbout0157002-Electric /�'� CITY OF OSHKOSH No 157002
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER '
Job Address 1014 OHIO ST Owner GOLDEN DRAGON PROPERTIES LLC Create Date OS/01/2013
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Contractor HIPKE ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A__ ' Type � Overhead � Underground
Va�� Circuits 3 Luminaires
Amps Switches Receptacles
Appliances Freezer - ,
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Use/Nature of COMM/WIRING FOR FREEZER UNIT *`check#3421 -
Work
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Fees: Valuation $980.00 Plan Approvai $0.00 Permit Fee Paid $70.00
Issued By: (� Date 08/01/2013
❑ Permit Voided � Parcel Id# 1300220000
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 pe mit application within an asement,the City strongly urges the permit applicant to contact the easement
holder(s)and to s re any neces�a y al efore s ng su activity. � � _ ��
Signature �% ,� Date �
AgenUOwner
Address 3418 WOODHAVEN CT ___ APPLETON WI 54913 -7906 Telephone Number (920)850-1713
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 54903-1 1 30
Phone(920)236-5050
F� (920)236-5084 OlHKO.IH
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$100.00 plus the '
normal permit fee,which ever is greater.
OR
If vou are a contractor narticinating in the Permit Fee Account Svstem and have adeauate fiinds check here
lf vou want thrs nrocessed through vour account ❑
DATE (� ! � ��
JOB ADDRESS �D �GI D�i�0 ��
OWNER C�O l d L✓l /�� L�✓�- �ro �/��%�
CONTRACTOR l/ ! /�� C�2 C7`/' i' L C C,
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ,�'Not Applicable
❑Change ,�1ot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits# �
P6ase
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 !��'C�e 2��"
,
DESCRIPTION OF ALL WORK BEING DONE �''�� �r �/`��7�/' �►2 '" �
VALUE(Including labor and all terials includin 'ght fi t s) � �0• ��/
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MASTER ELECTRICIAN
3/02
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