HomeMy WebLinkAbout0145741-Electric (low voltage) CITY OF OSHKOSH No 145741
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 500 CITY CENTER Owner CITY CENTER ASSOCIATES LLC Create Date 05/04/2011
Contractor D E THOME ELECTRICAL CONTRACTIN Category 643 - Commercial- Addition /Remodels Plan
Inspector Kevin Benner
Service 0 New O Change O Temp • N/A Type O Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use /Nature of COMM (LAKELAND CITY CENTER) / ADD A DURESS ALARM SYSTEM WITH 1 BUTTON AND 2 ALARMS **check #35450
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $25.00
Issued By: Date 05/04/2011
0 Permit Voided Parcel Id # 0100600000
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 N7627 COUNTY ROAD WH FOND DU LAC WI 54935 - 9504 Telephone Number (920) 923 -2568
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 OHKOIH
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 contractorJarticipatig in the Permit Fee Account System and have adeguatefunds, check here
if you want this processed through your account ❑
DATE 3 4920// �J �
JOB ADDRESS ��t ( ; L_(-- OWNER ,1�.ke_ tc1->tiel 3_ — 1)‘, r-; Ct
CONTRACTOR
ELECTRICAL CONTRACTOR Di E, ,/A O rr) , E1 rt �-I &kZr / D c,
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Multi - Family (number of units ) CI Commercial ❑Industrial
CHECK 67 ALL APPLICABLE
❑Cameras ❑Motion ❑Telephone ❑Video [White Noise Systems
❑Data %ISecurity ❑Television ❑Voice
❑Fire Alarm ❑Sound DOther
DESCRIPTION OFAI, BEING1NE
/ 41 6 _
711► �
a 0 / i 4
VALUE (Including labor and all mat • e installation(s) $ 6 v CJ
APPLICANT SIGNATURE /f
06/09