HomeMy WebLinkAbout0157605-Electric (misc. wiring) � CITY OF OSHKOSH No 157605
OSHKOSH ELECTRIC PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 1700 S KOELLER ST Owner GE CAPITAL FRANCHISE FINANCE CORP Create Date 09/09/2013
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Contractor ELECTRICAL CONCEPTS INC ____ Category 643-Commercial-Addition/Remodels Plan
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Inspector Adam Krause
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Service New � Change � Temp � N/A JI Type � Overhead � Underground
Volts Circuits _ Luminaires
Amps Switches _ Receptacles
Appliances ----_ - -
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Use/Nature of ��/INSTALL NEW PENDANT FIXTURES TO REPLACE EXISTING,CONNECTING NEW BAR CANOPY TO REPLACE
Work IEXISTING, NEW N RECEPTACLES, NEW SIGN LOCATIONS AND NEW EXTERIOR CANOPY CONNECTION **check#21689
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Fees: Valuation $2,000.00 Plan A roval 0.00
PP $ Permit Fee Paid $87.00
Issued By: �� Date 09/09/2013
❑ Permit Voided � Parcel Id# 1307440402
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 NSW22520 JOHNSON DR STE F WAUKESHA WI 53186 - 1668 Telephone Number (262)548-0480
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 perf'ormed 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
Fax (920)236-5084 ��.�`�`
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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$100.00 plus the
normal permit fee, which ever is greater.
OR
/ ou are a contractor narticinatinQ in the Permit Fee Account Svstem and have adequate funds check here
if vou want thrs processed through vour account ❑
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JOB ADDRESS � 7� -�U/1� �CUe l�er ,5�,
OWNER_����b�e )i��3 U6S�i/
CONTRACTOR_��1cfir<<�.I C�,n��rs �n�
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ��mmercial ❑Industrial �
SERVICE ❑New ❑Temporary TYPE ❑Overhead ,�Iot Applicable
❑Change ,�ot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts � � / ZU� Receptacles# Z_ Circuits# —
Phase_ '3,Pf
Amps — Switches# — Fixtures# 3U
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ,�'�'�lectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE�ShSrullih; n� �e�,/,.,,t- E-�{- res r-ep/o,c= ex;,S�ir.� .
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VALUE(Including labor and all materials including light fixtures)$ 2� UiJU
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MASTER ELECTRICIAN „�y��-, ,(j�,M,���
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