HomeMy WebLinkAbout0158077-Electric (replace subpanel) i
/�'� CITY OF OSHKOSH No 158077
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 103 ALGOMA BLVD Owner ONE SIX EIGHT ENTERPRISE LLC Create Date 10/03/2013
Contractor BOE ELECTRIC LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A i Type � Overhead 0 Underground !
Volts Circuits Luminaires
Amps Switches _ Receptacles
Appiiances --�
�
�
Use/Nature of 'COMM\Replace fused subpanel in attic �
Work ,
-- J
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $87.00
issued By: �� Date 10/03/2013
� Permit Voided Parcel Id# 0100950000
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 ap vals before starting such activity.
Signature ��^� � � Date /�'3 �-3
Agent/Owner
Address 4423 EUREKA RD OMRO WI 54963 -9615 Telephone Number (920)312-1980
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
Fa� (920)236-5084 01HKO.IH
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$100.00 plus the
normal permit fee,which ever is greater.
OR
Ifyou are a contractor partici�ating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account ❑
nATE fv� 3—� 3
JOB ADDRESS ��� ��C"'�° ��'` C I���
OWNER /1�.,.�;I��a
CONTRACTOR �a c ,�l<c 9�/:�- LL C
CHECK Lf ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ODryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE CI'�v�F�..�, �vb P«t�
(t)J
VALUE(Including labor and all materials including light fixtures)$ Z�CaC� �
MASTER ELECTRICIAN �%�����^
3/02