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Home My WebLink About0158203-Electric (AT & T rooftop equipment) � CITY OF OSHKOSH No 158203 - OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 522 530 N MAIN ST Owner OSHKOSH HOUSING AUTHORITY Create Date 10/11/2013 Contractor TEAM SERVICES INC Category 643-Commercial-Addition/Remodels Plan Inspector Adam Krause Service �New � Change � Temp � N/A Type 0 Overhead � Underground _� k Volts Circuits Luminaires Amps Switches Receptacles Appliances � -- _ Use/Nature of COMM/P&I conduit and wiring for relocated AT&T rooftop equipment Work � "*ck#66350"" — -- ---- --- ' Fees: Valuation $35,000.00 Plan Approval $0.00 Permit Fee Paid $335.50 Issued By: �LI�, Date 10/11/2013 ❑ Permit Voided', Parcel Id# 0401220000 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 2602 AMERICAN DR APPLETON WI 54914_-9010 Telephone Number (920)738-5885 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 s Fax (920)236-5084 O HK�.,J H pIJ THE WATER k ELECTRICAL PERMIT APPLICATION ; All information after bold categories must be provided. Incomplete applications will not be processed. ' T51 �ob�Z�7C�� ; • 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$100.00 plus the � normal permit fee,which ever is greater. OR If vou are a contractor participating in the Permit Fee Account Svstem and have adeguate funds, check here � if vou want this processed through vour account ❑ ` � DATE�'�p ��jC�[�. � JOB ADDRESS ;)��r�l l'� ,`� £P.1 � OWNER CONTRACTOR � CHECK�ALL APPLICABLE ; USE CATEGORY �Single Family ❑Duplex OMulti-Family ❑Rental �Commercial ❑Industrial SERVICE ONew ❑Temporary TYPE ❑Overhead ❑Not Applicable OChange ❑Not Applicable ❑Underground £ FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# Phase Amps Switches# Fixtures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater � ❑Fan OR Blower ❑Furnace DA/C �1 ❑Electric Sign £ ❑Motors ❑Gas Pumps (�Other �'��o, ?'� ►� f�T'�-( L�'�-�� DESCRIPTION OF ALL WORK BEING DONE � +-L G�.k-� � �- �v'ti'L� s Q✓ � ( d- 1 P"0 c� f o ' VALUE(Including labor and all aterials i clud' g light fixtures)$��C�� . b—U f��,�1�. 50 t MASTER ELECTRICIAN t 3/02 i