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Home My WebLink About0144617-Electric (low voltage - east employee entrance) CITY OF OSHKOSH No 144617 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 855 N WESTHAVEN DR Owner AURORA MEDICAL CENTER OF OSHKOSI Create Date 01/12/2011 Contractor CC & N Category 643 - Commercial- Addition /Remodels Plan Service 10 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 Cable East Employee Entrance #808114C. * *debit acct Work Fees: Valuation $780.00 Plan Approval $0.00 Permit Fee Paid $46.00 Issued By: L /yyt■0. / Date 01/12/2011 ❑ Permit Voided Parcel Id # 1621520000 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 N27W23588 PAUL RD PEWAUKEE WI 53072 - 5790 Telephone Number (920) 830 -6706 (Don) 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. 01/11/2011 16:24 9208306725 CC &N PAGE 01/01 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WT 54903 -1130 Phone (920) 236 -5050 Fax (920) 236-5084 OOJH ELECTRICAL PERMIT APPLICATION oN 1N WATER 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 permits) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR /fyor, ore a contractor Dartkeipating in the Permit Fee Account System and have adequate /unds, check here if you want this •recessed t hrough v ac - DATUM 1 /11 JOB ADDRESS: 855 North Westhaven Drive, Oshkosh WI 54904 OWNER Aurora Health Care Inc CONTRACTOR CC &N CHECK ® ALL APPLICABLE USE CATEGORY Mingle Family ❑Duplex ❑Multi- Family ❑R.ental I Comrnercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead DNot Applicable ❑Change ONot Applicable ❑Underground OUnderground FILL IN THE .APPROPRIIATE, BLANK WITH THE NUMBER Volta / Receptacles # Phase Circuits # Amps Switches # Fixtures # CHECK PJ ALL APPLICABLE ORange ❑Dishwasher ❑Garbage . Disposal O'D cr DFan OR Blower ❑Furnace DA /C ►Y� OWatcr Heater Clfilectric Sign ❑Motors ❑Gas Pumps DOther DESCRIPTION OF ALL WORK BEING DONE: Security Cable Rough In — East Employee Entrance — Department 808114C VALUE (Including labor and all mate als i hiding r ht fixtures) $780.03. Permit Fee: $46.00 MASTER ELECTRICIAN - i■ l 41,1 Received Time Jan. 11. 2011 3:31PM No. 4327