HomeMy WebLinkAbout2010-Electric (low voltage) C 2) CITY OF OSHKOSH No 144223
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 4200 POBEREZNY RD Owner GRS LLC Create Date 11/30/2010
Contractor PER MAR SECURITY Category 642 - Commercial -New Building Wiring Plan
Service 0 New 0 Change 0 Temp • N/A Type O Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of FVTC (low voltage) / Install burglar alarm system, consisting of door contacts, motion detectors and door access control.
Work
Fees: Valuation $14,340.00 Plan Approval $0.00 Permit Fee Paid $243.00
Issued By: G) Date 11/30/2010
0 Permit Voided Parcel Id # 1324250000
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 1322 SCHOFIELD AVE SCHOFIELD WI 54476 - 0 Telephone Number (715) 355 -9670
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 k
Oshkosh, WI 54903.1130 /
Phone (920, 236-5050
Fa N (920)236-5084 4
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s1 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 permius) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a ‘NontractoruarticIfuning tifc Permit Fec Account System and hare adequate fundL....01?...!,...k.,..11..c.
if you CMI this proces. tfarougu your account
DATE
JOB ADDRESS "V/C0 in'q• 4e
OWNER .A-" , S 4 /k,;/ / e RECEIVED
CONTRACTOR , 4r - ./ NOV 02 2010
DEPARTMENT OF
CHECK El ALL APPLICABLE COMMUNITY DEVELOPMENT
USE CATEGORY INSPECTION SERVICES DIVISION
IDSingle Family ODuplex ORemal I:Commercial Industrial
SERVICE ZNew 0"1'emporar,), TYPE ,d0verhead ONot Applicable
OChange ONot Applicable °Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts „,
'2 Receptacles # Circuits #
Phase
Amps Switches # Fixtures n
CHECK El ALL APPLICABLE
°Range °Dishwasher °Garbage Disposal ODr)er 1p Water Heater
°Fan OR Blower °Furnace OAIC Dhlectric Sign
DMotors OGas Pumps ZOther
DESCRIPTION OF ALL WORK BEING DONE 3.<6 )15 4'e?
< ' "
aL ,
VALUE (Including labor and alt materials including light fixtures) $ 4 )(.5
MASTER ELECTRICIAN
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55C- 9690