HomeMy WebLinkAbout0157085-Electric � CITY OF OSHKOSH No 157085 :
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2006-2020 JACKSON ST Owner 2020 JACKSON STREET LLC Create Date 08/07/2013
Contractor HULLAR ELECTRIC LLC Category 642-Commercial-New Building Wiring Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A I Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
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Use/Nature of COMM\White box and interior wiring for Edward Jones buildout
Work '
I I
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Fees: Valuation $6,500.00 Plan Approval $0.00 Permit Fee Paid $172.00
Issued By: Date 08/07/2013
❑ Permit Voided�� Parcel Id# 1514819800
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 o secure an ne sary appr Is before starting such activity.
Signature Date ^
AgenUOwner
Address 2535 KNAPP ST OSHKOSH WI 54902 -9004 Telephone Number (920)233-3667
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 01HKO.IH
Fau (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$100.00 plus the :
normal permit fee,which ever is greater.
OR
If you are a contractor participatinQ in the Permit Fee Account Svstem and have adequate fi�nds, check here �
if vou want this processed through vour account ❑
DATE �����
JOB ADDRESS 2 c' l� �u �l�c,,
OWNER 1�J�,.� �c�
CONTRACTOR ��i.� �lz�f T,�
CHECK 0 ALL APPLICABLE
USE CATEGORY ��
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead CJNot Applicable
❑Change �1ot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# 2� 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 r+5 t(� << a r�.�,'�,�
VALUE(Including labor and ali materials including light fixtures) $ � � V � , (�� ;
MASTER ELECTRICIAN
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