HomeMy WebLinkAbout0158058-Electric (3 parking lot lights) � CITY OF OSHKOSH No 158058
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3555 MOSER ST Owner RONALD H/JANE K JOHNSON LLC Create Date 10/02/2013
Contractor PIEPER ELECTRIC INC Category 657-MISC.-OTHER THAN BUILDINGS Plan
Inspector Adam Krause
Service New _� Change � Temp � N/A Type 0 Overhead � Underground _J
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
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Use/Nature of ,INDUSTRIAL/INSTALL(3)NEW PARKING LOT LIGHTS(JOB#109312) **check#28861
Work �
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Fees: Valuation $15,516.00 Plan Approval $0.00 Permit Fee Paid $259.00
Issued By: ,�'�'�(�,� Date 10/02/2013
Permit Voided Parcel Id# 1519606400
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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 5070 N 35TH ST MILWAUKEE WI 53209 -5302 Telephone Number 920-886-6800
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.
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City of Oshkosh ;
Division of Inspection Services � ;
P.O.Box 1130 � ;
Oshkosh,WI 54903-1130 j
Phon((92�)236-5050 KO.f H �
Fax 920 236-5084
(�'ti'-?-'.;inTFR -
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ELECTRICAL PERMIT APPLICATION ;
All mformatcon after boid categories must be providad. ;
Incomplcte applications will not be processed. �
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• Application(s)and fee(s)cau 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$100.00 plus the
noxmal permit fee,which ever is greater.
OR �
If vou are a contractor�articipatin� in the Permit Fee Account Svstem and have adequate funds. check here f'
if vou want this nrocessed through vour account ❑ `
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JOB ADDRESS,� � RECEIVED
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CONTRACTOR���� G��-���- � �CT 0 2 2013
CHECK H ALL APPLICABLE DEPARTI1E\T OF €
C0�1JtU\1TY DEVELOP�fE.VT `
USE CATEGORY ��SPECTiOti S�RI7CES Dl�')SIOV '
❑Single Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ,�ndustrial 4
SERVICE �New OTemporary TYPE ❑Overhead �tot Applicable
❑Change �Tot Applicable OUnderground
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FILL IN THE APPROPRIATE BLANK WITH THE NUMSER ;
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Volts / Receptacles# Circuits# �
Phase
Amps Switches# Fixtures#
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CH"i+CK Q ALL AP�'LiCABi.E '
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❑Range �Dishwasher ❑Garbage Disposal �Dryer �Water Heater ;
CJFan OR Blower [�Furnace �A/C �Electric Si F
❑Motors �Gas Pumps ❑Other� � ,,.�� �- �� ��
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DE5CRIPTION OF ALL WORK BEING DONE
�n.S-�c: ( IT=1 n� t� J�r' ��+-�G,1 �O-� r�G�Gl. s �
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VALUE(Includiag labor and all materials including light fizt�ures)$ �5�7�(�
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MASTER ELECTRICLAN
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