HomeMy WebLinkAbout0158862-Electric � CITY OF OSHKOSH No �5sss2
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1810-1818 JACKSON ST Owner FAIR ACRES LLC/MAJERS LLC Create Date 11/20/2013
Contractor FOLSKE ELECTRICAL SERVICES LLC Category 643-Commercial-AdditioNRemodels Plan
Inspector Adam Krause
Service �Q New � Change � Temp � N/A Type � Overhead � Underground _�
Voits Circuits Luminaires
Amps Switches Receptacles
Appliances ' -- T �
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-- — -�
Use/Nature of COMM/1818/Tenant build-out*for World Financial per State approved plans.**check#3049
Work �
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Fees: Valuation $7,500.00 Plan Approval $0.00 Permit Fee Paid $189.00
Issued By: (�i Date 11/21/2013
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❑ Permit Voided' Parcel Id# 1514970200
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�cure a�yAeces�3Py app vals before starting such activity. � I
Signature ��t'VL. 1�'–) 7'�1`�./ Date
AgenUOwner
Address 4285 RIPPLE AVE OSHKOSH WI 54904 -6868 Telephone Number (920)420-2798
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 e�try),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
Fa�c (920)236-5084 ��--�K�S�--�
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
Ij vou are a contractor participatin� in the Permit Fee Account System and have adeyuate funds, check here �
if vou want this processed throu�h vour account ❑ �
DATE � � Z�
JOB ADDRESS ���,V ��-'�--�J�-S��
OWNER `�JV�'�`�-�,
CONTRACTOR ���7�Q,���`L, I �'t�-C 1.�
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑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 ❑A/C �Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE_ ___�,�_� ����In�T 5�.������, �
e �� ,, �1,��'
VALUE(Including labor and all materials including light fixtures) W� v"
MASTER ELECTRICIAN______�'�L�� v 71A�.
3/02