HomeMy WebLinkAbout0122851-Electric (low voltage)
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OSHKOSH
ON THE WATER
Job Address 3160 WHITE TAIL LN
CITY OF OSHKOSH
No
122851
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MIDWEST GENERAL CONTRACTORS
Create Date 12/12/2006
Contractor
* ACCU-COM
[) New
Category 633 - Residential-Multi-Family Addition/Re Plan
Service
o Change 0 Temp
eN/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of MULTI-FAMILY 1 WIRE LOW VOLTAGE PHONE AND CABLE INSTALLATION
Work
Fees: Valuation $2,900.00
Issued By: ~ W
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 12/12/2006
D Permit Voided i
Parcel Id #
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 au rity to enforce easement restrictions of which it is not a party, if you perform the work
described in this perm' a Ii Ith' an easement, the City strongly urges the permit applicant to contact the easement
holder(s) an ec y n ce approvals before starting such activity.
Signature Date 17...// Z/01".
Agent/Owner
Address
OSHKOSH
WI 54902 - 0
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
DEe I 2 2IlO6 cI'.)
~
OJHKOfH
ON THF WATER
(\
ELECTRICAL PERMIT APPL.ICATION
All infonnation 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
nonnal pennit fee, which ever is greater.
OR
If vou are a contractor DarticiDatin~ in the Permit Fee Account Svstem and have adeo.uate funds. check here
ifvou want this processed throuf!h vour account 0 .. ,
DATE fL.-I J?, lOb
I . (
W~\~\-o..'\ \
r 0./"\ ~c. to r
JOB ADDRESS 'S \ to 0
OWNER . ~ '\ J: w <<-~ \- G e..~ v.J..
'COimu.CTOR ~C v .--- (C).---
CHECK if ALL APPLICABLE
USE CATEGORY
r . o Single Family ODuplex
&tti-Family
ORental
OCommercial OIndustrial
. SERVICE, DNew
DChange
OTemporary
ONot Applicable
I
TYPE DOver head
DUndergrotmd
DNot Applicable
. FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
, Volts
:rhase
Amps
Switches #
Fixtlires #
CHECK ItJ ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
DFan OR Blower OFumace DAlC
DMotors DGas Pumps o Other
DESCRIPTION OF ALL WORK BEING DONE ~'" tl~ / CQ.fo)-<..
t e..v \J o~ rr--
...... I
. '
ODryer DWater Heater
OElectric Sign ,
I fl5~ ll", 1-, ~ '~..
(VALUE (Including labor and aU materials including Ughtf'lXtures) $ ~.'1<oO . (11'0
I
MAsTER ELECTRICIAN
3/02