HomeMy WebLinkAbout0157907-Electric � CITY OF OSHKOSH No �s�so�
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 30 WISCONSIN ST Owner D&F INVESTMENTS OF OSHKOSH LLP Create Date 09/24/2013
Contractor 4C ENERGY CONTROL SOLUTIONS LL( Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service p New � Change � Temp � N/A Type � Overhead _ � Underground '
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of 'COMM\Remodel of existing restautant-new patio area.Allwork to meet current code requirements
Work
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Fees: Valuation $9,500.00 Plan Approval $0.00 Permit Fee Paid $223.00 J
Issued By: � Date 09/24/2013
❑ Permit Voided', Parcel Id# 0103640000
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 ermit application within an easement,the City strongly urges the permit applicant to contact the easement :
holder(s)and to ecure any sary approv before starting such activity.
Signature Date '�/ /�
AgenUOwner
Address 1640 CRESTVIEW DR OSHKOSH WI 54904 -8202 Telephone Number (920)574-2655
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
Fax (920)236-5084 f HKOf H
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinP in the Permit Fee Account Svstem and have adeguate fi�nds, check here
if vou want this processed throu�vour account ❑
DATE / � / r ��
JOB ADDRESS �O fJ-��S��SI l� �"l1�—
OWNER �wJ'�'� �C:�'ir:c%4'J „
CONTRACTOR � CT C �, �►'���� S�>l l,u'�I�.`''�1S
CHECK Ef ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead [�ot Applicable
❑Change �Iot Applicable ❑Underground /
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER :
Volts��� / �� Receptacles# Circuits#
Phase 3
Amps �;[� Switches# Fixtures#
CHECK E�1 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE .
� '"� '�t V•,�' � �- a...' �'- �,,�/
c.�l L
VALUE(Including labor and all materials including light fixtures)$ 7 ��� `
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MASTER ELECTRICIAN ���' L1���.�c�'��i � Z— l C� Q I �'jS
3/02