HomeMy WebLinkAbout0158568-Electric (outlet refresh) €
17 CITY OF OSHKOSH No 158568
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 210-240 W MURDOCKAVE Owner FAIRACRES LLC/MAJERS LLC Create Date 10/31/2013
Contractor LIN R ROGERS ELECTRICAL CONTRAC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service �New � Change � Temp � N/A � Type � Overhead � Underground �
Volts __ 120 Circuits Luminaires
Amps 20 Switches Receptacles 20
Appliances
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/N M - - **
Use ature of I O M(230 US CELLULAR /OUTLET REFRESH REWIRE 15 20 EXISTING OUTLETS� 120V 20A check#146526
) ( . , )
Work
-- _. �
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $138.00
Issued By: Date 10/31/2013
❑ Permit Voided I Parcel Id# 1518981100
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 2050 MARCONI DR STE 200 ALPHARETTA GA 30005 -5202 Telephone Number (770)772-7959
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 othervvise,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,WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 ��1K H
pN THF WATPR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds check here
if vou want this processed throu�your account ❑
DATE �(��Z�SI i�J� �
JoB Ann�ss 23b U1QSi-�Y1ur�(��,��,vw�
OWNER t r � ' L� T.
RECEIVEI)
.
CONTRACTOR 'G�� 0 C T 312013
CHECK 0 ALL APPLICABLE DEPART:IIE\T OF
CO�7�7U:�7TY DEVELOPbiEVT
USE CATEGORY �NSPECTIOV SERVICES Dl�'ISiOV
❑Single Family ❑Duplex ❑Multi-Family ORental [�Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
I�Change ONot Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts � �d / Receptacles# �d Circuits#
Phase
Amps [� Switches# Fixtures#
CHECK 0 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE��"" ���5���r.(L())r� I.'�7���
�Q/���! l� UVI u.-1� � �Z�v��.�"�
VALUE (Including labor and all materials ' cluding light fixtures)$ �l�C����
MASTER ELECTRICIAN
3/02