HomeMy WebLinkAbout2011 -Electric (low voltage) C 1) CITY OF OSHKOSH No 145095
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 219 WASHINGTON AVE Owner DALE SCHOOL APARTMENTS INC Create Date 03/08/2011
Contractor THE GENESYS GROUP INC DBA ACCU. Category 643 - Commercial- Addition /Remodels Plan
Service 10 New 0 Change 0 Temp 0 N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of Low Voltage / Install fire alarm pull stations and horn /strobe notification.
Work
Fees: Valuation $7,000.00 Plan Approval $0.00 Permit Fee Paid $162.00
Issued By: Date 03/08/2011
❑ Permit Voided I Parcel Id # 0200930000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh as no auth rity orce easement restrictions of which it is not a party, if you perform the work
described in this per ' a..licati. n wit), • asement, the City strongly urges the permit applicant to contact the easement
holders) and .__ - - . a ...vats before starting such activity.
Signature fira Date
9 'R', zr4,a b r;,/< Agent/Owner
Address : e - - - - ' OSHKOSH WI 54902 - 2631 Telephone Number 236 -5020
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 Of HKOJ H
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
Ifyou 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 3/01
JOB ADDRESS ail L) C s 1 ` t'jl
OWNER Ca • ,J t
CONTRACTOR . C • ` It - C '� r vL
ELECTRICAL CONTRACTOR
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK Ed ALL APPLICABLE
USE CATEGORY __��
❑Multi - Family (number of units ) '@Commercial ❑Industrial
CHECK Fa ALL APPLICABLE
❑Cameras ❑Motion ❑Telephone ❑Video ❑White Noise Systems
❑D to ❑Security ❑Television ❑Voice
-re Alarm ❑Sound ❑Other
DESCRIPTION OF ALL WORK BEING DONE
e l f ?di I 1 o^A 4 A a 41 - 4 1 tri")16 "I*411. ••••■
OD
VALUE (Including labor and all materials for cable installation(s) $ Ob
APPLICANT SIGNATURE LIMIPAIIII■,
08/09