HomeMy WebLinkAbout0157934-Electric (new service only) � CITY OF OSHKOSH No 157934
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 712 OHIO ST Owner KRIERS CONSTRUCTION LLC Create Date 09/25/2013
Contractor YOURR ELECTRIC _ Category 641 -Commercial-New Service Plan
Inspector Adam Krause
Service New � Change � Temp 0 N/A Type � Overhead � Underground I
Volts 120/240 Circuits Luminaires -
Amps 300 Switches Receptacles
Appliances
'I
L
Use/Nature of COMM/new service for electrical .
Work
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Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $87.00
Issued By: ���� Date 09/25/2013
❑ Permit Voided'I Parcel id# 0600800000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the Ciry 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)a cure any neces a ap vals before starting such activity.
Signatur �Ci.,l/ Date q�S �3
AgenUOwner
Address PO BOX 311 DALE WI 54931 -311 Telephone Number (920)779-6989
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
Fax (920)236-5084 ��l--�K�
��
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$100.00 plus the
normal permit fee,which ever is greater.
OR
I�vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds, check here
if vou want this processed through Your account ❑
> �
DAT
JOB ADDRESS � �� VI'l.I V !
OWNER �
CONTRACTOR � � C �CG
CHECK 0 ALL APPLICABLE
USE CATEGORY
OSingle Family ❑Du lex ❑Multi-Famil ❑Rental ommercial ❑Industrial
P Y
SERVICE �iew ❑Temporary TYPE verhead �Not Applicable
❑Change ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts � r . / Receptacles# Circuits#
Phase
Amps Switches# Fixtures#
CHECK�'ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower �Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
� S
DESCRIPTION OF ALL WORK BEING DONE / lI �� CA�IM/�.S�P1�L.�CQ.
VALUE(Including labor and all materia luding li 6t fixtures)$ ��� U�
/
MASTER ELECTRICIAN
l.
3/02