HomeMy WebLinkAbout0157943-Electric (generator) � CITY OF OSHKOSH No 157943 .
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 155 N EAGLE ST Owner SIMEANNA APTS INC Create Date 09/26/2013
Contractor M.R.TEAS INC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New 0 Change � Temp � N/A �I Type � Overhead � Underground
Voits Circuits Luminaires
Amps Switches Receptacles
Appliances �
i
�
Use/Nature of COMM\22Kwatt,3-phase generator and A\C units connections
Work
Fees: Valuation $13,000.00 Plan Approval $0.00 Permit Fee Paid $241.00
Issued By: ��'C Date 09/26/2013
❑ Permit Voided' Parcel Id# 0611430000
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 authori o enforce easement restrictions of which it is not a party, if you perform the work
described in this permit plica' n withi an easement,the Cit s es the permit applicant to contact the easement
holder(s)and to s re n ssa appro re starting such activity.
Signature Date '2(> `/ 3
AgenUOwner
Address 7065 WOODENSH D NEENAH WI 54956 -9747 Telephone Number (920)720-2288
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 Oslikosh
Division of Inspection Services � '
P.O.Box 1130 � :
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� (920)236-5084 O.IHK01H
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 ar$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatin� in the Permit Fee .9ccount Svstem and have adeauate funds check here
if vou want this processed throu�vour account ❑
DATE 9- 2 � — �3
JOB ADDRESS �d--" I" - �' v(g 5��� l C" �E'/� �V. C/v�S/�
U .
OWNER
CONTRACTOR_�- K- �N S
CHECK 0 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 ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other :
DESCRIPTION OF ALL WORK BEING DONE �ivs�7�o,G( � �f 3 � �ZU '2 `��
3��-
�. f�DoO°6
VALUE(Including labor and all materials'ncl ing li ht fixtures)�'�=
MASTER ELECTRICIAN
( /� 3/02
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