HomeMy WebLinkAbout0142035-Electric (fire alarm system) CITY OF OSHKOSH No 142035
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 112 OTTER AVE Owner WINNEBAGO COUNTY Create Date 07/15/2010
Contractor VAN OFFEREN ELECTRIC LLC Category 643 - Commercial- Addition /Remodels Plan
Service Q New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
II I
I I
Use /Nature of Installation of a new fire alarm system, egress lighting, y g g g, generator, parking lot lighting and rewiring in the smaller building per plans
Work
I
Fees: Valu • $188,000.00 Plan Approval $0.00 Permit Fee Paid $777.00
Issued By: Date 07/15/2010
❑ Permit Voided Parcel Id # 0200250000
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 N9165 JONSCH DR APPLETON WI 54915 - 5681 Telephone Number (920) 428 -4160
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
Oshkosh, WI WI 54903-1130
(AT:
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOJH
ON THE WATER
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 participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑ `7
DATE / 5 -4
JOB ADDRESS / o O 4 r v)/ S ItAL:5 0
OWNER W i ri n {, iccso G+-
CONTRACTOR Vccii v brit". ld r,'C-
CHECK VI ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi Family ❑Rental Commercial ❑Industrial
SERVICE ❑New El Temporary TYPE ID Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK B1 ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal DDryer ❑Water Heater
DFan OR Blower ❑Furnace ❑A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other /
DESCRIPTION OF ALL ORK BEING DONE -TA-51c new €'!e. a tel•\ S S - 2 - 4s 41 /
new reSS l ett ,;)s // 10 /j {;�
VALUE (Including labor and all materials including light fixtures) $ / 83 000
MASTER ELECTRICIAN PO a Q( e/
3/02