HomeMy WebLinkAbout0133028-Electric (low voltage)/~"~ CITY OF OSHKOSH No 133028
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1010 1012 W 20TH AVE Owner OSHKOSH POSTAL EMPLOYEES CREDIT Create Date 09/05/2008
Contractor HAMILTON FINANCIAL EQUIPMENT, IN( Category 643 -Commercial-Addition/Remodels Plan
Service New ~ Change ~ Temp ~ N/A Type Q Overhead ~ Underground f
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of
Work
and cameras
Fees: Valuation ~ ~ $_10,400.00 Plan Approval $0.00 Permit Fee Paid $219.00
Issued By: r~~f'i(~ ---
^ Permit Voided
Date 09/22/2008
Parcelld # 1307110100
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
Address P.O. BOX 20
Agent/Owner
KAUKAUNA WI 54130 - 20 Telephone Number 920-166-7007
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.
City of Oshkosh -Inspection Services Division -Electrical Permit Application
Revision of Inspectiae services
C.fTY pp 215 ehurct- Aveewe
P.O. Box 1130
Oshkosh, wI 54903-ii30
Fax (320} 236-5084
~ ZHE ~~ Phtxee (320} 236-5050
ELECTRICAL PERMIT APPLICATION
Page I of 2
All information with * next to it must be provided. Incomplete applications will not be processed.
Application(sj and fee(s) can be brought to City Flall, 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.
If you are a contractor participating in the PermiEt Fee Accwtr~t Systef~n acrd have adequate funds,
YES if you want the processed through your aoc~ounnt
*~B ADDRESS 1012 West 20th Street Oshkosh WI, 549f}2 p s~~KOSN i~osTgt. £ nA~I.oYE.c,S ~ , v
*OWNER ~ ~
*CONTRACT,OR H Finar>cial Equipment, l~ PO box 20 Kaukauna,.1INI 54,130
_ 7~(, . 7 ao
*t,1SE CATE60RY
~ Single Family ~ th~plex ~ F4utti-Fatuity C Rental ~ Commercial ~) Industrial
*SERVICE
Q New d Temporary ~) Change ~ Not Applicab~
*TYPE '~ .'
O overhead ~ Not Applicable O underground S E P 0 5 2008
rYK 'vi ~
I
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER INSPECTION SERVICES DIVISION
Volts Receptacles Circuits
Phase
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s/ity of Oshkosh -Inspection Services Division -Electrical Permit Application Page 2 of 2
Amps Switches Foctures
CHECK ALL APPLICABLE
Range ^ Dishwasher ^ Garbage Disposal ^ Dryer
0 water Beater ^ Fan OR Blower ^ Furnace ^ A/C
~ Electric Sign ^ Motors ^ Gas Pump Other
~'~DESCRIPTION Off ALL WORK BEING DONE
;Low voltage work- alarm ancf cameras
VALUE (Including labor and all mat~iaifs including ligiht fncdrresj
$'f (3,400.00
Value Must be in Currency format
*NASTER ELECTRICIAN
i Submit Reset
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