HomeMy WebLinkAbout0128066-Electric (security scada)
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OSHKOSH
ON THE WATER
Job Address 425 LAKE SHORE DR
CITY OF OSHKOSH
No
128066
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CITY OF OSHKOSH
Create Date 12/05/2007
Contractor
TOWN & COUNTRY ELECTRIC
Category 653 - Industrial-~dditi~n/Rem<:Jd~s
Plan
Service
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Type Q9Yt3rheCi9__ . _____Q_Undergrourld
Volts
Circuits
Luminaires
Amps
Switches
Receptacles
Appliances
i
--------________._.___.._____________..l
UsefNature of IfNbuSTRIAL (CITY OF OSHKOSH WATER FILTRATIONPIANT) 1 ELECTRICAL CONTROL FORSECORTTYSCADA------------l
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Fees: Valuation __~,500.0.Q
Issued By: ~&
Plan Approval
$0.00
Permit Fee Paid $0.00
Date 12/05/2007
D_ .I:'_~~~Y_o.i~~~J
Parcelld # 1100950000
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 (~20)P5~(3507
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.
3C\.L\~~S
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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 participatinf! in the Permit Fee Account System and have adequate funds. check here
if YOU want this vrocessed through vour account D
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DATE \ \~'"1<:>'\
JOB ADDRESS k.t~~ .\.....c., b 2:\..-. Q~ ~,
OWNER C IiV n f OS>>lloS H WA-....<: z.. UVLI j 'l"
CONTRACTOR,""OI..0~ ~ c...c,--"-",~,<- \. ~ <L-I.. CA" -*'r ~ c-
CHECK 0 ALL APPLICABLE
USE eATEGORY
DSingle Family
DDuplex
DMulti-Family
/"
DRental qtornmercial DIndustrial
TYPE OOverhead ~ot.AP~~f~~le
OUnderground
SERVICE ONew
o Change
OTemp9rary
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c_', '..'-. ". "-',"
.....-.,~. .,' '-,.:,,"","c>'<,'..o' 'f" -,.
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Swit~hes #
. Nr-t
Circuits #~
Fixtures #.J\l Ft',;.:.>''"'
Volts
Phase
Amps
N/t-!
~rrr
Receptacles # NIt
. _:-,' '.." '; :' -, ,~, ,:."
,.,-'.:_~,' .';'" :>"-, ,.-,.:',;.,....,...
CHECK 0 ALL APPLICABLE
ORange ODishwasher DGarbage Disposal
DFan OR Blower OFurnace DAlC
DMotors DGas Pumps JxrOther
DESCRIPTION OF ALL WORK BEING DONE~~".. /1G ..... 5t
\1'5\- So L""".A.A.~.-\~ ~\::;1~0 .
ODryer OWater Heater
OElectric Sign
(' ~ ~-1\
VALUE (Including labor and all materials including light fixtures) uS ISOC)~
MASTER ELECTRICIAN /~ fl-~ #
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