HomeMy WebLinkAbout2013-Electric (repair outdoor pole security lighting) /�''� CITY OF OSHKOSH No 157792
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD `
ON THE WATER
Job Address 285 S WASHBURN ST Owner JOHN BUTfKE RENTAL LLC Create Date 09/18/2013
Contractor DREXLER ELECTRIC __ Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change � Temp � N/A _ , Type � Overhead � Underground `
Volts ___ 120 Circuits Luminaires
Amps __ _ Switches Receptacles
Appliances I�
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Use/Nature of OMM/REPAIR OUTDOOR POLE SECURITY LIGHTING *'check#6132
Work '
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Fees: Valuation $200.00 Plan Approval $0.00 Permit Fee Paid $30.00
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Issued By: �1(,� Date 09/18/2013
❑ Permit Voided Parcel Id# 0616010000
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 490 COUNTY ROAD FF _PICKETT WI 54964 -9513 Telephone Number (920)589-6700
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 O u�(O u
I il\ I I
ON 7HF W,1TFR
z ELECTRICAL PERMIT APPL�CATION�� �
All infortnation 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 t=�:ing doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
Itvou are a contractor participating in the Permit Fee Account Svstem and hu-oe adequate funds, check here
rf vou want this pracessed throuQh vour account �
DATE Q�t- r3
JOB ADDRESS ��S so u�r�t (,�J,�}5 ft �� 2�cJ
OWNER�q�tc/ �u>jKL: iPe•�-fq� L LC
CONTRACTOR �2e�/{� EC«f�-�'� C �C
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family �'Rental �'ComrtY���rcial ❑Industrial
SERVICE ONew ❑Temporary TYPE ❑Overhead �Tot Applicable
❑Change �'Not Applicable �Underground �
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts l� / Receptacles# Grcuit��!
Phase
A�ps Switches# FixtureQ#
CHECK H ALL APPLICABLE
�Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
DFan OR Blower OFurnace ❑A/C ❑Elec:��i. Sign
❑Motors ❑Gas Pumps ❑Other __.__
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DESCRIPTION OF ALL WORK BEING DONE ___ _ j ;
/2�.�g,%C �vT/�baR �ol� S�c.�rr.�,� ��yG�T��y � _____
VALUE (Including labor and all materials induding light fiztures) $ c�-�a`� __ _
MASTER ELECTRICIAN f������� V- Pi�
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