HomeMy WebLinkAbout2006-Electric (low voltage)
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OSHKOSH
ON THE WATER
Job Address 100 WYLDEWOOD DR
CITY OF OSHKOSH
No
122852
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MIDWEST GENERAL CONTRACTORS
Create Date 12/12/2006
Service
· ACCU-COM
P New
Category 633 - Residential-Multi-Family Addition/Re Plan
Contractor
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of MUL TlcFAMIL Y / WIRE LOW VOLTAGE PHONE, CABLE, FIRE ALARM AND ENTRY SYSTEM'
. Work
Fees:. V. aluation 0900,00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$237.00
Date 12/12/2006
D Permit Voided I
Parcelld #
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkos has no uthority to enforce easement restrictions of which it is not a party, if you perform the work
described in this per it ppli ti an easement, the City strongly urges the permit applicant to contact the easement
holder(s) an ary approvals before starting such activity.
Signature Date , ~'I 'J1:-J'O'
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 (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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
('. Phone"(920) 236-5050"
. Fax (920) 236-5084
DEe 12~.)
~
OJHKOfH
ON THF WATER
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 withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor particilJatine in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processed throuf!h vour account D. "
DATE \\..{17 J '\, b
JOB ADDRESS \,Q c W'( 1 J~ w o'U J, S>" ~ \H--
OWNER orulJ~~ Q~rJ2 {:" ~~U{~
CONTRACTOR tkcvo- Co J"Y'
CHECK 621 ALL APPUCABLE
USE CATEGORY
r o Single Family DDuplex ~ulti-Family
o Rental
o Commercial
o Industrial
."SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
OUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
" Volts
:rhase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 621 ALL APPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
OFumace
OGas Pumps
DGarbage Disposal
ONC
DOther
ODtyer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
E V} Ti c;t;<,kW\.
~~.~ IGa. tJ<-.
/ .
r;~ 1II~n"-
/t.fvvo. ~ .
rv ALUE (Including labor and all materials including light IlXtures) $
MASTER ELECTRICIAN
3/02