HomeMy WebLinkAbout0128018-Electric (fire alarm)
G
OSHKOSH
ON THE WATER
Job Address 420 JACKSON ST
CITY OF OSHKOSH
No
128018
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CITY OF OSHKOSH
Create Date 12/03/2007
Contractor CURRENT ELECTRIC SERVICES
Category 6.Q..:..g()~Q1..ercial..Addition/Remodel~~.. Plan
o New
o Change 0 Temp
. N!~~
Type 0_ OVElr~El_ail,_" "..~_~Q_ U nderJ) r()ul'l~_..____ ..
Service
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
liRE ALARM
I
i
~'-----~-'--'''--'I
L_..____.._________~,_,__,_
.._~___._.._.._,.___._,_______..__'_".._ .__~__.~__._.__._'_.__._.____.,.. ._ _____._,..___ . _..___..__~.__._.__,...._.__.____"...m ,__.
... - ' ',',.,
Use/Nature of 'ICOM-M(CITY (YFOSrIKO~rH"poIICE DEP7>:RTME}:ftj7TNSfAlI'FfREALARM'lfrc"OURT-S-ECTfoNOFSAFETY BUILDING--
Work
I
I,
!
!
I
I
_m_~_J
Fees: Valuation $8,300.00
Issued By: ~S- -----
Plan Approval_~..2~ClQ
Permit Fee Paid____$O.QQ
Date 12/03/2007
D!:,_ermit Vo.i~
Parcelld # 0701340000
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
683 BORVAN AVE STE A GREEN BAY WI 54304 .. 4505
.-....---- -..-.--------.--.---. ,--.-----'...--- --.-.--- -- -~.. .-... ..--......---.---..
Telephone Number (9_2_Q) 4~~-3950
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.
~J 0 v. 3 0 . 2 0 I} 7 1 2 : 2 9 PM
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone (920) 236-5050
Fax (920) 236-5084
Inspect ion serVices
R
~;i...~V'
~/ :'.",i,
~1
D
DEe 0 3 2007
DEPpYzTMENT OF
COW'iUNITY DEVELOPMENT
ELECTRICAL p~M1T\~~ie=A rp,'bS~ON
All information after bold categories must be provided,
Incomplete applications will not be processed.
No.6416 P.2
~
OJHKOfH
ON TH. WATF~
· Application(s) and feces) 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 $100.00 plus the
nonnal permit fee, which ever is greater.
OR
/bj)u are a conrractol par/icipa(illQ in The Permi} Fee Ac:c:au~]t System and have adequate_funds. ell,?ck. here
if vop wan! tl:li$ pr(}c(!.~sed thnJl(~h your account 0
DATE
JOB ADDRESS.... () 5/J1<t:J $/-1 5, APE ry GL t;?6.
OWNER e."ry OF 0$/-11/6$1-/
CONTRACTOR _ e; vRRIrA,/"'" .. E'1,..~(;.rI'lIG,,5E'RVIt:.C-?
'iX- :::!~:I<>,\ ~:,/_'.:':}~. ,~".,' 0.'.) --.', .', '_.' ~- c
CHECK 0 ALL APPLlCARLE
USE CATEGORY
OSingle Family "ODuplex
DMulti -F amily
ORentaJ
caCommercial
SERVICE ONew
DChange
DTemporary
ONot Applicable
TYPE DOverhead
OUnderground
FILL IN TIfF, APPROPRIATE BLANK WlTH THE NUMBER
Voits
Phase
Amps __
I
Receptacles #
Circuit~ tt
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
ORange
DPan OR Brower
OMotoTs
ODishwasher
DFurnace
OGas Pumps
DGarbage Disposal ODlyer DWatcr Heater
ONe DElectric Sign
~Other IN 5 rlf.LL- FINE' A.l.J\IV''\
DESCRIPTION OF ALL WORK BEING DONE I IV S rJ4. L L. FIRe- A LA R M
h~t) (J ~ or - ~ e-c.. r I () IV ~ t=$AI=ET'Y I'3U i L Jj, I II ~ " ',.-.'
, ~ ~!'~.;::'
, .~, .~~~;:",;;::",~:~ ,;t c/;'"
i":l. - ~ - 0,
Olndustrial
[ENot Applicable
11'/
I. i ,\ c~
,..: :f".';
',,"i"::}:.'
. ~. (. i: . ','
VALUE (Including labor :wd :Illmlltcr~als including light fixt\lr~s) $ e I 7> 00 . 0 0
MASTER ELECTRICIAN -JJj~ /11e-;j/~
3 / l.)~: