HomeMy WebLinkAbout2014-Electric � CITY OF OSHKOSH No 159862
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3365 S WASHBURN ST Owner BERGSTROM OF THE FOX VALLEY INC Create Date 03/21/2014
Contractor FAITH TECHNOLOGIES, INC. Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service New � Change � Temp � N/A ' Type � Overhead � Underground
Volts Circuits Luminaires '
Amps 125 Switches Receptacles
Appliances �
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Use/Nature of �COMM/FURNISH AND INSTALL ELECTRICAL FOR NEW CARWASH ONLY **check#1002794 -�I
Work I
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Fees: Valuation $31,000.00 Plan Approval $0.00 PermitFee Paid $321.50 :
Issued By: �l 1.1�-' Date 03/21/2014
� Permit Voided� Parcel Id# 1365080000
In the performance of this work 1 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
Agent/Owner
Address PO BOX 260 _MENASHA WI 54952 -260 Telephone Number (920)738-1513
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 speci�ed 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 -
�=�H. 1V � ..
� 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
J re a •ontr ct r rt i a�'n ' Pervni 1� t S s m ct trtrve d � unds ch k re
if vou want this processed through your account ❑
��C7� � DATE � I�I �
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JOB ADDRESS � 1�
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����4 -� � MAR 21 2014
CUNTRA�CTOR
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CHECK 0 ALL APPLICABLE ���t�T�"��T'"�j�=����.�p��Ex�
INSPECT¢{?'� .',6?"''f'�'s'.�[T'ISIO'V
USE CATEGORY
❑Single Family ODuplex ❑Multi-Family ❑Rental otnmercial ❑Industrial
SERVICE ❑New OTemporary TYPE ❑Overhead ONot Applicable
❑Change Q�lot 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/� ❑Electric Sign
❑Motors ❑Gas Pumps O�Other �a.�l,� 'la I�A- �2.��
DESCRIPTION OF ALL WORK BEING UONE
��r�n�r�t,t � tv�C,t��DO 0 2r��=,,� c � /i�e-� ��t�..Y,�.-��
VALUE(Including labor and all materials including Itg6t fixtures)� �� �� ��_
MASTER ELECTRICIAN
3/02