HomeMy WebLinkAbout0103122-Electric (fire alarm system)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
500 S OAKWOOD RD
EXCELLENCE ELECTRIC, INC.
I~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MERCY MEDICAL CENTER OSH INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103122
Create Date 07/25/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Replacement of fire alarm system in Mercy Oakwood. *Job #3609.
Work
Fees: Valuation
Issued By:
$104,000.00 Plan Approval $0.00 Permit Fee Paid $462.00
Date 07/25/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 321 E MAIN ST PO BOX 78 LITTLE CHUTE WI 54140 - 78 Telephone Number
(920) 687-2442
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.
JOB ADDRESS Soo
CONTRACTOR =~_~c~c3~ W-t~=--c~-~,~-i Q,
ELECTRICAL PERMIT APPLICATION ~,, 0~
DATE 7/l'u / o B
SERVICE NEW
TYPE OVERHEAD
NO. OF FIXTURES
AMPS
CIRCLE ALL APPLICABLE
USE CATEC-ORY SINGLE FAMILY
CH~GE
UNDERGROUND
SWITCHES
VOLTS, /
DUPLEX MULTI -FAMILY RENTAL COMMERCIA~L INDUSTRIAL
RECEPTACLES CIRCUITS
PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER C4%RBAGE DISPOSAL DRYER
DISHWASHER FAN OR ~LOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK B~"D~NE ~.~C~--~,~-74-F O~ F~~-~- ~t~
Submit payment with ~pp~lcatlon. ~allure to pay within 30 da.y will resulk in
fees being doubled b~ ~}06.0~ plus the normal permit fee, which ever is
greater.
~-~VALUE (Includin~ labor an~ ~1~1 ~%erialS including light fixtures)
MASTER EL~Z~C~AN