HomeMy WebLinkAbout0158193-Electric (new service) � CITY OF OSHKOSH No 158193
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2747 KNAPP ST Owner Create Date 10/10/2013
Contractor HOEHNE ELECTRIC Category 641 -Commercial-New Service Plan
Inspector Adam Krause
Service � New � Change 0 Temp � N/A ' Type � Overhead � Underground �
Volts 120/240 Circuits Luminaires
Amps Switches Receptacies
Appliances �
Use/Nature of COMM/new underground senrice
Work
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Fees: Valuation $2,500.00 Plan Approval $0.00 PermitFee Paid $104.00
Issued By: �,� Date 10/10/2013
❑ Permit Voided, Parcel Id#
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 secur ny nece sary provals before starting such activity.
Signature v7�� � Date l (`
AgenUOwner
Address N1798 JUNCTION LN BERLIN WI 54923 -8923 Telephone Number (920)379-8200
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.
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Ciry of Oshkosh � �� _,. (� '` � �
Division of Inspe�tion Services � .{ �-�.�.- �
P.O.Box 1130 '
Oshkosh,WI 54903-1130 c�r����_ Q�� �
Phone(920)236-SO50 v � �('� � ��
Fax (9Z0)236-5084 ��!J
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ON TH� AT.R
LECTRICAL PERMIT APPLICATION
All information after bald 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 pennit(s)will result in fees being doubled or$100.00 plus ibe
normal permit fee,which ever is greater.
OR
If vou are a contractor narticinatinff in the Permi� Fee Account Svstem and huve adeauater('unds check here
rf vou want this nrocessed through vour occount ❑
� DATE � �� �-�l j
JOB ADDRESS ���� � ��
OWNER �I�� � ��l�f.
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CONTRACTOR f / = �-� �'��
CHECK 0 ALL APPLICABLE ``
USE CATEGORY
❑Single Family ❑Duplex �Multi-Family ORental /�'SC,ommercial ❑Industrial
SERVICT�New OTemporary TYPE ❑Overhead [7Nat Applicable
C7Change DNot Applicabie �7tJnderground
FILL IN THE APPROPRIATE BLANK WIT�I THE NUMBER
Volts�` � Receptacles# Circnib#
Phase
Am Switches#! Fistares#
CHECK H ALL APPLICABLE
ORange �Dishwasher OGarbage Disposal . �Dryer ❑Water Heater
OFan OR Blower �Fumace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCB�'I�1 OF L WORK BEING DONE -`�l-�' �?/������"j(�'t'�
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�<�y �..✓
VALUE(Inctnding Isbor and a a als including light fiztu es)
MASTER ELECTRIC � � L .
3/02