HomeMy WebLinkAbout0157072-Electric (parking lot lights) � CITY OF OSHKOSH No 157072 `
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 906 OHIO ST Owner DONALD E BASLER REV TRUST Create Date 08/06/2013
Contractor T RUCK ELECTRIC INC Category 643-Commercial-Addition/Remodels Plan
Inspector
Service New � Change � Temp � N/A Type � Overhead 0 Underground I
Volts Circuits Luminaires 3
Amps Switches Receptacles
Appliances
i
Use/Nature of COMM\Replace existing lot lights
Work
_ i
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: � Date 08/06/2013
❑ Permit Voided i Parcel Id# 1300020000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenbOwner
Address 690 W 3RD AVE OSHKOSH WI 54902 -5880 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Ciry of Oshkosh :
Uivision of Irupection.�',ervices �
P.Q. BoY 113Q '
Osh�:osh,t�'I �490�-1130 �
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ELECTRICAL PERMtT APPLtCAT10N
All information after bold categories must be provided.
Incomplete applicaiions witl not be processeti.
• Application(5) and fee(s) can be brought to City Hall,Room 205 or mailed to Inspection Services> PU Bos ? i��,
Oshkosh WI S49J3-112$. Cornmencing work without permit(s) will result in fees being doubled or$100.0U p;us ti��
norrna; permit fee, which ever is greater.
OR .
lf vou are a contra;.ror nartic�ating in the Perrnit Fee AccourTt St=stem and have adeat�aie firnds c��ch• +�e � �
if vou want this Urocessed through vour account ❑ � -
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JOB AllllRESS_ dGv � � �g�--
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CUNTRACTOR_� �� �� � r� �
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C;HECK H A.L,L APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex �hlulti-Family �Rental �B�Commercial ❑Industna?
SERVICE ❑New �❑T�'e porary TYPE ❑Overhead l�iot Applicabie
OChange HNot Appiicable �Underground
FILL IN THE A.PPROPRIATE BLAI�tK WITH THE i�1Ul�1BER
�'otts / _ Receptacies # Circueis #
Phase
Amps SrF�itches# Fixtures # 3
CHECK H ALL APPLICABLE
E�Range C]Dishwasher ❑Garbage Disposal �Dryer C7�tiater Heate;
❑Fan UR Blow�er �Furnace D/�/L �Electric Sign
❑Motors L7Gas Pumps ❑Other
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llESCRIPTION OF AI,L WUKK BEING llUNE �"—'r E
�'ALUE (Inciuding�abor and atl a iats including fight fi sj��_^"
y- �O� ^
1�IAST�ER ELECTRICIAN MY�,