HomeMy WebLinkAbout2006-Electric (phone & computer)
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OSHKOSH
ON THE WATER
Job Address 351 S WASHBURN ST
CITY OF OSHKOSH
No
122935
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
WALMART REAL ESTATE BUSINESS TRU Create Date 12/18/2006
Contractor
'CC & N
Category 643 - Commercial-Addition/Remodels
Plan
o Underground
Service
o New
o Change 0 Temp
. N/A
Type 0 Overhead .
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
UselNature of COMM /INSTALL LOW VOLATAGE PHONE AND COMPUTER WIRING FOR THE AURORA QUICK CARE
Work
Fees: valu. ation u) $2,000.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 12/18/2006
D Permit Voided I
Parcelld # 0616030000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address
N27W23588 PAUL RD
PEWAUKEE WI 53072 - 5790
Telephone Number (262) 523-0299
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Dec.12, 2006 7:46AM
inspection services
E EIVED
No.0281 P. 7
r',
City of O$hkosh
, Division ofInspection Services
P.O. Box 1130
(bhkosh.~lS4903-1130
Phontl'(920) 236-5050
Fax (920) 236-5084
DEe -1 8 2006
DEPARTMENT OF
COMMUNITY DEVELOPMENT
ELECTRICAL PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete appIieatiODS will not be processed.
~
OJEg-QfH
ON TH~ W^T II
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-112ft Commencing work without permit(s) wiU result in fees being doubled or $100.00 plus the
nottnal permit fee, which ever is greater.
OR
DATE I 8-/1/ () & .
LuqS h b L( .... t) ~ T) S'l{ I f----e 3' oSh~t-4( <t 0 L{
JOB ADDRESS "3 S ISo 4. f--l.,
OWNER' LJ~J, MQr-f
CONTRACTOR. L ~ v- I1.J
r\
CHECK III ALL APPLICABLE
USE CATEGORY
CJSingle Family DDuplex DMulti-Family
SERVICE DNew OTemporaty
OChange ONot Applicable
ORen~ ){Commercial DIndustrial
TYPE OOverhead ONot Applicable
DUnderground
FD...L IN THE At1'ROPlUATE BLANK WlTHTBE NUMBER
, VdltS
phase ~
Amps
I
Reteptacles #
Ciruits #
SWitches #
Fixtures #
CHECK iii ALL APPIJCABLE
ORange ODishwasher OGarbage Disposal DDryer aWateT Heater
OFan OR Blower OFumace IJAIC " OElectric Sign .
ClMotors OGas Pumps ~er . Lo t.J \)0 ( N< 5 Q. _I'I) '51-0. ( ( Q.l (~ Y]
DESCRlPTIONOFALLWOaKB~INGDONE 'P~ ~J ~Th ~ ~
_~ lli~ cQ ..U.J.:~.J:; <:O;..,p . .
r VALUE (Ibeluding labor and aD materials jncluding light f"~ures) $ :I,; 0 {) 0 · C;O
MASTER ELECTRICIAN ..
3/02