HomeMy WebLinkAbout2013-Electric (rooftop unit) � CITY OF OSHKOSH No 158539
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 10/29/2013
Contractor VAN OSS ELECTRIC INC _ Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
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Service i� New � Change � Temp � N/A �i Type � Overhead 0 Underground I
Volts 208/230 Circuits Luminaires
Amps Switches _ Receptacles
Appliances
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Use/Nature of , OMM(UNIT E20-CORNING WARE)/REMOVE AND REPLACE EXISTING ROOFTOP HVAC UNIT, NEW OF EQUAL CAPACITY
Work "'check#32335 :
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Fees: Valuat' $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: � Date 10/29/2013
� Permit Voided Parcel Id# 1329420000 :
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 6296 HIGHVIEW RD ___DENMARK WI 54208 -8653 Telephone Number (920)864-7663
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.
Oct 2513 01:58p Van Oss Electric Inc 9208647014 p.2
Gz�. 25. 2G1; ' 1 :28A��1 ACR CO:�P No. 4��8�� P. 1
City of Oshlwsh
Division ofT�sspection Services �
p.0.Bo�c 1 t30 �
Osufcoah�WI 54943-1134 �
Phone(920)236-5050
F�x (920}236�5084 �i�—
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ON ME WATER -
EI.ECTRICAL PERMIT APPLICATION
AU iafonnadon after bold cate�ories�nust be provided.
locomplete applicativus will n�t be pnoceued. ,
• Applicatian(s)and fee(s)ean be brought to Ciry Hall,Room 20S ur mailed to 7nspecdon Seiviees,PU Box I 128,
OsbJcosh WT 54903-1128. Commencing�vork without permit(s)will result in fees being doubled or$10�.00�lus the
norrnal permit fec,tiwhich ever is$zeater.
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Jfvau are a cnntrocrof varticinatin� !n Ihe Permfl 1�'ee deeoerni Svrte„� a»d hav�e�waie tunds check here
�t vo�i wanr 1h1s p�ocessed�broygh yovr aceo�rr,� ❑ �
, DATE� '! �
JOB ADDRESS �OQ c�� N 1/!2/� �TE2 E�'T -��,O I
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Owiv�R �l?.�M� (9U TLCT'/l'I/�-GL �
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CONTRaCTOR _ VA-N �SS GL�G�L lG ,Y�.n9 G ��r L�cEf.�s,��/�3y5"�6
CT�EC�0 A�,L APpC.TCA�LE �
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�C1'SE CATEG0�2'Y'
OSingle Famil� ❑Duplex ❑Multi Family �Rental �Commerciai ❑Cndustrial
SERVICE �N'ew OTemporary TYPE DOverhead �Not Applicable '
DChange �[Not Applicabk OUnderground �
FII.L IN TSE APPROPRCA'Y'E Bx.ANIr'VVT'I'g T�E N"UMBER
Volts o�0� a?3fj !/ RecepEacles# Circnit9 fl I
Phese
Amps Swltches� Fixtures#
CHECK 0 ALL APPLICA�Y.�
❑Range Obist�washer ❑Garbage Dis�osal Obtper ❑Water Heater
OFan OR Blower D�urnace C]A/C ��lectric Sign
C[Motors ❑Gas Pumps �Other
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D�SCRYP7xON OF AX.Y.'W0�2TC BEYN'C DON'� �
_ �lN�a� � ��l�v l� Fo� �ooF'7b� �v�T — -- I
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VALUE(Iaclndin�labor�tnd aq ornteripls inclodEag 11gh1 flxtures)S � Q���/�-� �!Q/� I
MASTER EY.ECTRYCTAN�.���'tf�/L V� ��il� x�/7C1���/
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