HomeMy WebLinkAbout0123437-Electric (low voltage)
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OSHKOSH
ON THE WATER
Job Address 3180 ELK RIDGE DR
CITY OF OSHKOSH
No
123437
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
MIDWEST GENERAL CONTRACTORS INC Create Date 02/07/2007
Contractor
ACCU-COM
~w---- 0 Change 0 Temp
Category 633 - Residential-Multi-Family- Addition/Re Plan
. N/A
Type 0 Overhead
o Underground
Service
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
Use/Nature ofMUL TI-FAMIL Y (WIRING LOW VOLTAGE PHONE AND CABLE JACKS -debt acct I;
Work \\.. ..
$111.00
Fees: Valuation $3,200.00
Issued By: 23--Ynk .J
Plan Approval
$0.00
Permit Fee Paid
Date 02107/2007
o Permit Voided I
Parcelld #
In the performance of this work I agree to perform all work pursuant to rules goveming 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
1218 OSHKOSH AVE
OSHKOSH
WI 54902 - 0
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 n()ting 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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON iHF 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 fuspection 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 pennit fee, which ever is greater.
OR
Ifvou are a contractor particivatin~ in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this vrocessed throuf!h vau1- account 0 '. .
JOBADDRESS '3 J?O elk {(,i ~
OWNER. (}11-l~ btYl.e .~J (o:t",<-f-or-
, CONTRACTOR--B-cC u - Co (V"'I
DATE
-'2 n,/en
, I
CHECK ~ ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex
~lti-FamilY
DRental
o Commercial
DIndustrial
,'SERVICE DNew
DChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
I
Receptacles #
Circuits #
. Volts
:.phase
AmPs
Switches #
Fixtures #
CHECK ~ ALL APPLICABLE
ORange
DFan OR Blower
OMotors
DDishwasher
DFurnace
OGas Pumps
DGarbage Disposal
DAle
DOther
DDryer DWater Heater
DElectric Sign
. . VALUE (Including labor and all materials including light fixtures) $ 32 00 .t...::- ,
MAsTER ELECfRICIAN
3/02