HomeMy WebLinkAbout0143713-Electric (low voltage-paging) CITY OF OSHKOSH No 143713
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 150 N CAMPBELL RD Owner FOX VALLEY TECH & ADULT Create Date 10/19/2010
Contractor SUBURBAN ELECTRICAL ENGINEERIN( Category 643 - Commercial- Addition /Remodels Plan
Service 0 New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of Low voltage / Installation of paging system.
Work
Fees: Valuation $7,800.00 Plan Approval $0.00 Permit Fee Paid $179.00
Issued By: / Date 10/19/2010
❑ Permit Voided I Parcel Id # 0608020000
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- 236 -5084 p.1
City of Oshkosh
Division of Inspection Services
?.O. Box 1130
.
Oshkosh, WI 54903 -1130
Phone 236 -5050
Fax (920) 236 -5084 Of I OJH
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 8100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractorparticipatinr in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ❑
•
.-• DATE \ j \S. 0
JOB ADDRESS \ 5o `V y\'c --`\ -c O S hkOS h
OWNER "Uk 00-kill ' I LAN() n 1«.\ C
N R �Q ciR-
COACTOR 8v E
bu rina h tee ('\
CHECK El ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex ❑Multi Family ❑Rental 1Commercial Olndustrial
SERVICEew DTemporary TYPE OOverhead ONot Applicable
DChange ❑Not Applicable OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Vohs / Receptacles # Circuits # -
Phase
Amps Switches # Fixtures #f
CHECK El ALL APPLICABLE
[Range [Dishwasher DGarbage Disposal [Dryer ❑Water Heater
[Fan OR Blower [Furnace • • C ❑Electric Sign
[Motors ❑Gas Pumps ,t4 • ther - -
DESCRIPTION OF ALL WORK BEING DONE .& E . ° 00 h ' ' 1M
VALUE (Including labor and all materials including light futures) $ 0 0 OO
RECEIVED
MASTER ELECTRICIAN
OCT 19 2010
DEPARTMENT OF 02
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION