HomeMy WebLinkAbout2013-Electric � CITY OF OSHKOSH No 159033
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER :
Job Address 430 N MAIN ST Owner GRINDERS LLC Create Date 12/11/2013
Contractor EFFICIENT ELECTRIC,LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change 0 Temp � N/A Type � Overhead � Underground I
Volts Circuits Luminaires
Amps 200 Switches 10 Receptacles 20
Appliances
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Use/Nature of COMM\Remodel of existing bar i
Work
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Fees: Valuation $10,000.00 Pian Approval $0.00 Permit Fee Paid $223.00
Issued By: i �-� Date 12/1 U2013
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� Permit Voided Parcel Id# 0400870000
In the performance of this work I agree to perform all work pursuant to rules goveming 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 an als b e starting such activity.
Signature Date
AgenUOwner
Address 1648 WESTERN ST OSHKOSH WI 54901 -2869 Telephone Number (920)915-8881
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
Fax (920)236-5084 O HKC� H
pfv T�iF 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$100.00 plus the
normal pennit fee,which ever is greater.
OR
I�you are a contractor participating in the Permit Fee Account Svstem and have adequate �'unds, check here
if vou want this processed through your account ❑
DATE I ��
JOB ADDRESS � �% ° / I
OWNER ^ C�S �
CONTRACTOR \ � C L°/� �' 1 C-
CHECK 0 ALL APPLICABLE
USE CATEGORY L
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �1Commercial ❑Industrial
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SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts � V / � Receptacles# Circuits#
Phase �
Amps (�� 6 Switches# � Fixtures#
CHECK�ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer OWater Heater
❑Fan OR Blower �Furnace �A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE � ' I � ��11' �,
�—
VALUE(Inciuding labor and all mat ials including light futures)$ l ��,���
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MASTER ELECTRICIAN
3/02