HomeMy WebLinkAbout0144095-Electric (low voltage) (1) CITY OF OSHKOSH No 144095
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 112 OTTER AVE Owner WINNEBAGO COUNTY Create Date 10/26/2010
Contractor SUBURBAN ELECTRICAL ENGINEERINI 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 COMM / LOW VOLTAGE WIRING TO INCLUDE FIRE AND SECURITY * *check #49482, 49615
Work
Fees: Valuation $2,480.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: l �— Date 11/15/2010
❑ Permit Voided I 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 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.
ELECTRICAL PERMIT APPLICATION Page 1 of 1
Steinike, Sandra
From: ELECTRICAL PERMIT APPLICATION [Permit App _Electrical @ci.oshkosh.wi.us]
Sent: Monday, October 25, 2010 4:58 PM
To: Inspections, Inspections
Subject: Electrical Permit Application
ELECTRICAL PERMIT APPLICATION
Date:10 /25/2010 4:58:05 PM
Permit Fee Account
System:
Job Address: 112 Otter Ave, Oshkosh, WI
Owner: Winnebago County
Contractor: Suburban Electrical Engineers / Contractors
Use Category: Commercial
Service: Not Applicable
Type: Not Applicable
Volts: Receptacles:
Circuits: Phase:
Amps: Switches:
Fixtures:
Appliances:
Other:
Description of all The fire and security wiring are going to be redone at the above
work being done: facility.
Value (Including labor 2480.00
and all materials
including light fixtures):
Master Elelctrician: John Spielbauer
10/26/2010
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084
ON THE WA R
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 ID 31 'i U
JOB ADDRESS 11 - 04-b P
OWNER W.) ( QQ l2V
CONTRACTOR
CHECK Q ALL APPLICABLE
USE CATEGORY
❑ Single Family ❑Duplex ❑Multi Family ❑Rental *ommercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead L dot Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits #
Phase
Amps Switches # Fixtures #
CHECK Q ALL APPLICABLE v,> r r
❑ Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑ Fan OR Blower ❑Furnace DA/C DElectric Sign
DMotors ❑Gas Pumps l Other k)
D CRIPTION OF ALL WORK BEING DONE
t.t, , • • ¥ a_0_9_ vp t <' CQ1) C1JYY� .
d •
VALUE (Including labor and all materials including light fixtures) $ am-go cv
MASTER ELECTRICIAN C O 5.- bo M r
3/02