HomeMy WebLinkAbout0127543-Electric (camera related)
G
OSHKOSH
ON THE WATER
Job Address 233 N CAMPBELL RD
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No
127543
Owner
CITY OF OSHKOSH SEWAGE PLANT
Create Date 10/26/2007
Contractor TOWN & COUNTRY ELECTRIC
Category 653 - Industrial-Addition/Remodels
Plan
Service
t2.!:Jew
o Change 0 Temp
. N~-l
Type 0 Overhead
o Underground
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
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Use/Nature of !INDUSTRIAL (WWTP) / ADD 120 VOLT CIRCUITS FOR CAMERAS (12), ASSOCIATED RACEWAYS AND CAMERAS WITH
Work IINSTALLATION
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Fees: Valuation $108,395.00
Issued By: ~~
Plan Approval
$0.00
Permit Fee Paid _ $0.00
Date 10/29/2007
o Permit Voi~
Parcelld # 0609680000
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
PO BOX 627
APPLETON WI 54912 - 627
Telephone Number (.91QL~~5-=--~?QZ_____
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.
RE'" 'eEl'" H'~.'D'
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City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-II30
Phone (920) 236-5050
Fax (920) 236-5084
OCT ~, 3 ~('C7
DEFAh i ;.''-''11 Ut
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISiON
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
If YOU are a contractor particivating in the Permit Fee Account System and have adequate funds. check here
if YOU want this processed through your account D
DATE JO-2S-07
JOBADDRESS 233 Campbell Rd.
OWNER City of OshKosh
CONTRACTOR Faith Technolo/J,es J TnC.
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family
DDuplex
DMulti-Family
o Rental o Commercial }EJndustrial
TYPE DOverhead DNot Applicable
DUnderground
SERVICE DNew
DChange
o Temporary
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
I
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK 0' ALL APPLICABLE
ORange
DFan OR Blower
DMotors
DDishwasher
DFumace
DGas Pumps
DGarbage Disposal
DAle
o Other
DDryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ IDS} 3<15,00
MASTER ELECTRICIAN '~ CL.kh~ I ~!t. J )~
3/02