HomeMy WebLinkAbout0157844-Electric (new service) I�"� CITY OF OSHKOSH No �s�$aa
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2107-2111 MINNESOTA ST Owner CATALINA PROPERTIES LLC Create Date OS/13/2013
Contractor CT ELECTRIC _ Category 641 -Commercial-New Service Plan
Inspector Adam Krause
Service New 0 Change � Temp 0 N/A � Type � Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps ___ 100 Switches Receptacles
Appiiances
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Use/Nature of �OMM\Install new service-repairs to damaged wiring "check#1019 I
Work i '
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Fees: Valuation $500.00 Plan Approvai $0.00 Permit Fee Paid $30.00
Issued By: �� Date 09/19/2013
❑ Permit Voided � Parcel Id�F
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 5783 ERIE ST BUTTE DES M(WI 54927 -9307 Telephone Number (920)420-3207
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
F� (920)236-5084 O.IHKO.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
If vou are a contractor participating in the Permit Fee .9ccount Svstem and have adeguate funds, check here
iJ vou want this pr•ocessed throu�h vour account ❑
DATE O ` �3 "— �J
.roB annuESS a J �J� /� �,�' n,� reGt'�
OWNER ��� � e � ��o � IJ"
CONTRACTOR C '7` ��-e e,��^� C
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
SERVICE,BNew ❑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 0 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 �P� �U� �"�//� /�' � �/�C �
VALUE(Including labor and all material ' cluding light fixtures) $ � ��Q�
MASTER ELECTRICIAN
3/02 '