HomeMy WebLinkAbout0156892-Electric I�`� CITY OF OSHKOSH No �ssss2
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3530 OMNI DR Owner OMNI GLASS&PAINT INC Create Date 07/25/2013
Contractor PRECISION ELECTRIC INC OF THE FO) Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground
Volts Circuits 5 Luminaires 20
Amps Switches _ 2 Receptacles 10
Appliances �
�
Use/Nature of 'COMM\Wiring of cold storage addition.All work to meet current code requirements
Work
�
- - �
Fees: Valuation - 00.00 Pian Approval $0.00 Permit Fee Paid $172.00
Issued By: Date 07/25/2013
❑ Permit Voided�, Parcei Id# 1278000000
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 3355 N MCCARTHY RD _APPLETON WI 54913 -8817 Telephone Number (920)757-1633
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 ofInspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
N A .
ELECTRICAL PERIUIIT APPLICATIQN
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 203 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normat permit fee,which ever is greater.
OR
Ifyou are a contractor nartici,�atin,�in the Permit Fee Account System and have adeq�ate funds check here
if vou wanr tieis grocessed rhrough vour account ❑ ;
DATE �—Z Z—�3
JOB ADDRESS__ 3 S 3 O ��n.� �r D
owxER d►�.n,► �t�.�S �.��- P��.�,4- JUL 2 5 2013
CONTRACTOR ���S coYt �l u—�rtc_ Zh[.
DEPART;11£�T OF
C0�1�1UVITY DEVELOP�fEVT
CHECK�ALL APPLICABLE INSPECTIQti SER�'ICES DI�'IS10V
USE CATEGORY '
❑Siagle Family ❑I}uplcx ❑Multi-Family �Rental �ommerciai pIndustrial .
SERVICE �New �Temporary 1'1'PE �Overhead ,87Not Applicable
❑Change �Tot Applicable DUnderground
FILL YN THE APPROPRIATE BLANK WITH TSE NUMB�R
Volts / Receptacles# �4 Circuits# 5
Phase
Amps Switches# � Fixtares� �d :
CHECK fi3 ALL APPLICABLE
�Range � ODishwasher ❑Garbage Disposal . ODryer DWater Heater :
�Fau OR Blower �Furnace OA/C ❑Electric Sign
�Motors ❑Gas Pumps �Other
DESCRIFTION OF ALL W ORK BEING DONE W��f n q o'� �o �l 5 7�0�S.��Q A►�t �«,,�
VALUE{Including labor aad all materials inclading light res)$ �� ��
MASTER ELECTRICIAN �� �� �=
3/02