HomeMy WebLinkAbout0123330-Electric (low voltage)
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OSHKOSH
ON THE WATER
Job Address 2127 2129 JACKSON ST
CITY OF OSHKOSH
No
123330
ELECTRIC PERMIT. APPLICATION AND RECORD
Owner
JACKSON STREET DEVELOPMENT LLC Create Date 01/26/2007
Contractor
NORTHERN TELEPHONE & DATA NTD
Category 643 - Commercial-Addition/Remodels
o Change 0 Temp
. N/A==:]
Type 0 Overhead
Plan
o Underground
Service
o New
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature of OMM (2127) / WIRING LOW VOLTAGE FOR NEW SECURITY SYSTEM
Work
-
I
I
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 01/26/2007
o Permit Voided I
Parcelld # 1219640000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkos authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this per . appli tion within an easeme e City strongly urges the permit applicant to contact the easement
holder(s) and to ecure a ecessary approvals e starting such activity.
Signature Date
Agent/Owner
Address
I/Zb/()/
{ l
OSHKOSH
WI 54901 - 1805
Telephone Number (920) 426-9192
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, W154903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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 without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
J ou are a contractor artici atin in the Permit Fee Account S stem and have ade uate unds check here
if you wantthi, ",o"",d Ih,ough YOU' accounl !O 0 "7 5~ ~';l5" ~::::~U /0 Z
JOBADDRESS 2 rz1 ~c\t.so/ S t<' ~
OWNER jJ d if ~W W r~( -f p lM\A e () t~ -\-0..
CONTRACTOR /J-r~ - Fov..(......r.es r t;ec.-v-/: ~ f
CHECK 0' ALL APPLICABLE
USE CATEGORY
OSingle Family
SERVICE ~ew
o Change
ODuplex
OMulti -Family
o Rental
~mmerCial I Dindustrial
o Overhead raNot Applicable
o Underground
o Jemporary
BNot Applicable
TYPE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
OMotors
o Dishwasher
DFumace
OGas Pumps
o Garbage Disposal
DAle
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE tJev..J SQ..~v"{ ~i <)tS~e.Vl.
VALUE (Including labor and all materials including light fixtures) $
t tf~O.t)(J
MASTER ELECTRICIAN
3/02