HomeMy WebLinkAbout0105273-Electric
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 105273
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
1120-1180 EMMERS LN
Owner
WESTOWNE NORTH PROPERTIES LLC
Create Date 11/12/2003
Contractor
GEM ELECTRIC LLC
Category 642 - Commercial-New Building Wiring
Plan
Service 10 New 0 Change 0 Temp Type 10 Overhead
Volts 120/208 Circuits 33
Amps 200 Switches 8
0 Underground
Fixtures
50
Receptacles
28
Appliances
Fan or blower, Electric Sign, Water Heater & Commercial Cooler/Freezer/Toaster.
Use/Nature of 1120 EMMERS LN / QUIZNO'S / Install lighting, general receptacles, equipment receptacles, cooler and freezer, and sign wiring for Quiznos
Work Subshop.
Fees: Valuation
$9,200.00
Plan Approval
$0.00
Permit Fee Paid
$180.00
Issued By:
Date 11/12/2003
U Permit Voided I
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
Agent/Owner
Address
1400 Western Ave
Jackson
WI 53037 - 0
Telephone Number
414-412-3550
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.
Nov 04 03 04:091"
Oshkosh Inspections
920-236-5084
1".4
City of Oshkosh
Division of!nspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phcne" (920) 236-5050
Fax (920) 236-5084
~
O[QK,g¿H
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 SeNice., PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will resuJt in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If.ou are" con"a"!"r var!icivD!inr in the Permit Fee Account 8vs/em and have adequate funds check here
if vou want this "recessed !hrQu"h vour accoun/ 0
DATE \ II ~ /0..3
JOB ADDRESS oj/? £-,"^IYH~"-\ k4^.l--OJ~1I>fZ
OWNER ~ C9v l <- ~ oS
CON'IRACTOR ~-:r (" EIV\. ~(-<,,--+r¡'c...
CHECK ø ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex
OMulti-Family
DRental
l1JCommercial
OIndustrial
SERVICE aNew
DChange
DTemporary
~ot Applicable
TYPE DOverhead
DUnderground
~ot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I ')-ð IZ-cJ
>
'Z.-Ui>
Reeeptacles,?, flJ'
Circuits #
ð3
50
Switches #
,.r
Fixtures #
CHECK EI ALL APPLICABLE
ORange
man OR Blower
OMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal DDryer [¡(Water Heater
DAlC' Mlectric Sign
:IiZIOther _(a~~-<-/<,~\ r.N'--'</( çor~-(!--c./j,<>"".¡.....--
DESCRIl'TION OF ALL WORK BEING DONE -S:..... s h, f / ) J J L .¡- I" j' 'à ~ ~ <- '" I
r'1(.~p'¡-""'-«, .('1'hr"",~-r Tf/.,j'-H.¿Ù r I (u,¡l-r..--- ,,».--' Çr-1~7<-:;
¿'n). sJ"j" '---""""'3 v...... I'> ,,~~,,' S,-,b si.."r'
VALUE (Ineluding labor and all materials ineluding light fIXture<) $ "1;;;¡ ¿rtJ ~
MASTER ELECTRICIAN /J ~ ~Æ
3/02