HomeMy WebLinkAbout157121 Electrical (interior build out) /'�`� CITY OF OSHKOSH No 157121
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1810-1816 JACKSON ST �wner FAIR ACRES LLC/MAJERS LLC Create Date 08/07/2013
Contractor ALLIED ELECTRIC LLC Category 642-Commercial-New Building Wiring Plan
Inspector Adam Krause
Service New � Change � Temp � N/A Type � Overhead � Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances � ------ -----�I
i
UselNature of OMM/PIZZA HUT-1814 /Interior build out ""check#13899
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Work
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Fees: Valuation $15,600.00 Plan Approval $0.00 Permit Fee Paid $518.00
Issued By: (\ j' �' ' Date 08l08/2013
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� Permit Voided I Parcel Id# 1514970200
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 applica' n within an eas e t,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any s ry prov efore starti such activity.
Signature r — Date � ��
AgenUOwner
Address 127 GLORY RD GREEN BAY WI 54304 -5636 Telephone Number (920)884-6999
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 549Q3-1130
Phone(920)236-5050 �O L
Fax (92U}236-5084 � 1 �
oN r►�+e wn�e
ELECTRlGAL PERMIT APPLICATION
All inform�ion a�frer botd categories m�st be proviaed-
Incomplete applications will not be processed.
• Application(s)and fee{s�can be brought to City Hall,Room 2Q5 or mailed to Inspection Services,PO Box 1128,
pshkosh WI 54943-1128. Commencing work without permit{s)will result in fees beiag doubled or$1(m.OU plus the
noratal permit fee,which ever is gre�ater.
OR
�you are a coniractor partici,�ating in the Perrait Fee Account Svstem and have adeauate {unds, check here
if vou wvnt thi�rocessed through vour account ❑
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��I� DATE � 7 � �
JOB ADDRESS J��" J�i G/� S��l ��
OWNER �i z�c.1 ��k.l ( N �1
cox�r�croR (�11;�l �=I r.c�-1� c�
CHECK 0 ALL APPLICABLE
� USE CATLGORY �
❑Single Famiiy ��upiex OMvlti Family flRental C�Commercial �industria�
SERVICE C1New OTemporary TYPE �Overhead C3Not Applicable
OChaage QNot Applicable DUnderground
FILL IN T'HE APPROPRIATE BLANK WTTH THE Ni7MBER
Volts / Receptacles# Circnits#
Phase
�ps Switches# F`iztures#
CHECK�ALL APPLICABLE
ORange �Dishwasher �Gazbage Disposal � �Dryer �Water Heater
�Fan OR Blower C�Furnace �AIC ❑Electric Sign
�Motors QGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE �� �r!"�'c�r �`c� II.L V' ��
�
VALiJE(I�ladi�g labos and all msterials i�dudiag light 5ztures)� ���,L �'GG
m�s�R�c�c� ��'� �Q��.� �''�%�.�c�3
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