HomeMy WebLinkAbout0143511-Electric (low voltage) CITY OF OSHKOSH No 143511
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 215 WAUGOO AVE Owner WINNEBAGO COUNTY Create Date 09/29/2010
Contractor SUBURBAN ELECTRICAL ENGINEERINI Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of Low voltage security wiring
Work
Fees: Valuation $994.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: 6 1- g.A1,/ Date 10/07/2010
❑ Permit Voided Parcel Id # 0200310000
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 709 N HICKORY FARM LN APPLETON WI 54914 - 3032 Telephone Number (920) 739 -5156
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.
Sep_ 10 04 08:33a Oshkosh Inspections 920 p . 1
City of Oshkosh
DiViSiCal of Inspection Services
?-0. Box 1130
Oshkosh, WI 54903-1130
Phone(920) 236-5050
Fax (920) 236-5084 0/1—KOIH
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 vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account 0
- - DATE I °/ L 1 ) (O
JOB ADDRESS (9- S tli1eS)0 OSV\---
OWNER UU r \irCL-rai (DIA
REc CONTRACTOR UaIA.Xt7Ctir) OrnrIC...)
OCT 7 2010
CHECK E3 ALL APPLICABLE
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USE CATEGORY coroki,J,, r
OSingle Family ODuplex OMulti-Family °Rental - 43Industrial
SERVICE ONew OTemporary TYPE OOverhead ONot Applicable
OChange ONot Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
• Volts Receptacles # Circuits # -
Phase
Amps Switches # Fixtures #
CHECK 1E1 ALL APPLICABLE
ORange ODishwasher OGarbage Disposal ODryer OWater Heater
OFan OR Blower OFurnace A/C OElectric Sign
OMotors OGas Pumps I.kOther LON,c) Vr)HagQ, itp_Pida OtS2A/La - DESCRIPTION OF ALL WORK BEING DONE RP 12023 4L&YT 4q els2viceiD
115\
VALUE (Including labor and Is ' eluding light fixtures) $ qg kocz-
MASTER ELECTRICIAlt
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