HomeMy WebLinkAbout0143760-Electric (low voltage) ea CITY OF OSHKOSH No 143760
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2755 ALGOMA BLVD Owner 2755 ALGOMA BOULEVARD LLC Create Date 10/21/2010
Contractor SUESS ELECTRONICS Category 643 - Commercial- Addition /Remodels Plan
Service 0 New O Change O Temp • N/A Type O Overhead 0 Underground 1
Volts Circuits
Luminaires
Amps Switches Receptacles
Appliances Sound, Television, LV Lighting
Use /Nature of COMM (The Reel Shot) / INSTALL LOW VOLTAGE WIRING TO INCLUDE TV, AUDIO AND LV LIGHTING * *check #39010
Work
Fees: Value on $26,900.00 Plan Approval $0.00 Permit Fee Paid $294.00
Issued By: Date 10/21/2010
❑ Permit Voided I Parcel Id # 1200010500
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 author' to enforce easement restrictions of which it is not a party, if you perform the work
described in this pe .•' - .:If¢ation i n an easemen , the City strongly urges the permit applicant to contact the easement
holder(s) and t. ecur - . ne pprovals f re starting such activity.
Signature .
Date / h
Agent/Owner
Address 2520 W WISCONSIN AVE APPLETON WI 54914 - 1716 Telephone Number (920) 733 -6464
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 0/ — KC)JH
ON THE WATER
LOW VOLTAGE 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 ❑
/�
DATE
JOB ADDRESS .315 A L U9 MA C-Ni
OWNER e' elt ^J KL:LLE\
CONTRACTOR . 1)9. \A"- Ve. 9,
ELECTRICAL CONTRACTOR S CA-1 i''i M E P.
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK ® ALL APPLICABLE
USE CATEGORY
❑Multi - Family (number of units ) Commercial ❑Industrial
CHECK 0 ALL APPLICABLE
A� � v
❑Cameras ❑Motion ,+ ,, d ephone ❑Video [White Noise Systems
❑Data ❑Security OTelevision ❑Voice
❑Fire Alarm ,Sound ®Other L v' Z. /34
DESCRIPTION OF ALL WORK BEING DONE c/
6t/lige /5L4/Li/n.j P.m TV ift)/.0 Z.L 4 t
VALUE (Including labor and all mate ', or, __ le n(s) i C H OC 1
APPLICANT SIGNATURE - f�
08/09