HomeMy WebLinkAbout0126358-Electric (phone/cable)
G
OSHKOSH
ON THE WATER
Job Address 3131 ELK RIDGE DR
CITY OF OSHKOSH
No
126358
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
BRIARWOOD OF HUNTERS RIDGE LLC
Create Date 08/20/2007
Contractor
ACCU-COM
o New
Category 631 - Residential-New Multi-Family Wiring Plan
Service
o Change 0 Temp
. N/A
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances
Use/Nature of MFR\ Low voltage - install phone & cable
Work
$4,270.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$128.00
Issued By:
d{le
Date 08/20/2007
o Permit Voided i
Parcelld # 1329600000
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
AgenUOwner
Address
1218 OSHKOSH AVE ...
OSHKOSH
WI 54902 - 2631
Telephone Number 236-5020
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.
City of Oshkosh
Division OfInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ON THF WATFR
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
1 ou are a contractor artici aUn in the Permit Fee Account S stem and have ade
if YOU want this processed throuf!h your account D
JOBADDRES~ ~ ("3( E/~ t\dr-
OWNER~\ ~ w4- G~!1P-\~ C ~'1.~~c4-vr
CONTRACTOR A-c: C ...;,,- C ~ .1'\..-
DATE <:? 1'2 ~I a 7
/
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family o Duplex
~ti-Family
o Rental
o Commercial
o Industrial
SERVICE ONew
o Change
o Temporary
ONot Applicable
TYPE OOverhead
OUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
/
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
OFan OR Blower
DMotors
DDishwasher
DFurnace
DGas Pumps
DGarbage Disposal
DAle
o Other
o Dryer DWater He.ater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE . L-c fA) Jr... (+~t'- /n{~
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