HomeMy WebLinkAbout2007-Electric (low voltage)
o
OSHKOSH
ON THE WATER
Job Address 110 WYLDEWOOD DR
CITY OF OSHKOSH
No
123436
ELECTRIC PERMIT - APPLICATION AND RECORD
MIDWEST GENERAL CONTRACTORS
Create Date 02/07/2007
Owner
Contractor
ACCU-COM
b New
Category 633 - Residential-Multi-Family Addition/Re Plan
Service
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
.
Use/Nature of MULTI-FAMILY 1 WIRING FOR LOW VOLTAGE PHONE, CABLE, FIRE ALARM AND ENTRY SYSTEM **debt acct
Work
Fees: Valuation $14,000.00
Issued By: ~ ~
Plan Approval
$0.00
Permit Fee Paid
$237.00
Date 02/07/2007
D Permit Voided I
Parcelld # 0632110000
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
1218 OSHKOSH AVE
OSHKOSH
WI 54902 - 0
Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 no~ing 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
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APP~ICATION
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
nonnal permit fee, which ever is greater.
OR
Ifvou are a contractor particiDatin~ in the Permit Fee Account Svstem and have adeauate funds. check here
ifvou want this Drocessed throuf!h vour account D. "
JOB ADDRESS ! / 0 ~/ de woo d.
OWNER' rYJ ;'j tAl t4t Ge (l (011 +tOLc,fur
. CONTRA~ORJ.cC v .- ( \.) ;v\
DATE 2)"/ / 07
I I
CHECK ~ ALL APPUCABLE
USE CATEGORY
OSingle Family DDuplex
d1ulti-Family
ORental
o Commercial
DIndustria!
..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
OFan OR Blower
OMotors
ODishwasher
OFumace
DGas Pumps
DGarbage Disposal
DAlC
DOther
DDryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
~ bM-). rOt bl-e- ~1t{CU1Y\
[if\+, J yr.f<W\
"" VALUE (Including labor and all materials including light fixtures) $ llf D 00. ~
:MASTER ELECTRICIAN
3/02