HomeMy WebLinkAbout0133892-Electric (low voltage)/~"~ CITY OF OSHKOSH No 133892
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 300-350 N KOELLER ST Owner BROS LLC Create Date 11/07/2008
Contractor ALTERNATIVE AUDIO & VIDEO Category 643 -Commercial-Addition/Remodels Plan
Service New ^ Change Q Temp t] N/A Type ^ Overhead ~ Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
UselNature of
Work
James) /INSTALLATION OF TV'S, SOUND SYSTEM, SECURITY AND PHONE **check 4731
Fees: Valuation ~\ $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: ~~~' ' ~ I~
^ Permit Voided
Date 11 /07/2008
Parcel Id # 1608701100
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 150 N HIGH ST MAYVILLE WI 53050 - 1341 Telephone Number (920),.904-0968
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
Division of Inspection Services
P.O. Box 1130 -
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084 OfHKOfH
ON THE \VATER
ELECTRICAL PERMtT 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 want this arocessed through your account
DATE ~ l' 7`C~ ~_
aoB AnnRESS 330 ~. oel ~e r
owNER - ~ tvn
CONTRACTOR ~ ' ~ ' v,~
CHECK E(ALL APPLICABLE ' Ted I O ~ V 1 d ~-O
USE CATEGORY
^Single Family Duplex OMulti-Family Rental C9'Commercial ^Industrial
SERVICE QNew (]Temporary TYPE pOverhead Not Applicable
^Change ONot Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
``imps Switches #
Fizt~ires #
. --____
CHECK Ef ALL APPLICABLE
!]Range Dishwasher ^Garbage Disposal l7Dryer ^Water Heater
1~Fan OR Blower OFumace DA/C 1]Electric S}'gn
C1Motors CJGas Pumps Other ~C1jS ,,~jl,t,-n/-.~ -~.• ~D(` r ~rt~
---, r
VALUE (Including labor and all materials including light fixtures) $ ~tv6~ • (~ a .
MASTER ELECTRICL~N
3/02