HomeMy WebLinkAbout0151430 - Electric (voltage pole) 0 CITY OF OSHKOSH No 151430
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 505 MARION RD Owner MERCURY MARINE Create Date 07/31/2012
Contractor FAITH TECHNOLOGIES, INC. Category 657-MISC.-OTHER THAN BUILDINGS Plan
Inspector Adam Krause
Service New 0 Change O Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances
Use/Nature of OMM/INSTALL LOW VOLTAGE WIRING TO INCLUDE INSTALLING 4"POLE,3/4"CONDUIT ALONG FENCE TO POLE, F.B
Work •PT&24V CABLE TO POLE AND INSTALL CAMERA AND SYSTEM INTERFACE ""check#962799
Fees: Value n $15,500.00 Plan Approval $0.00 Permit Fee Paid $249.00
Issued By: oY] vV Date 07/31/2012
❑ Permit Voided Parcel Id# 0102300100
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 y n cessary approvals before starting such activity. /. ,Signature Date
Agent/Owner
Address PO BOX 260 MENASHA WI 54952 -260 Telephone Number (920)738-1513
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 oOfnsh
Division o I
on of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJH<OJH
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 contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑
DATE J /20
JOB ADDRESS S OS lNt6,v.;c, . RA
OWNER (A4 von, �o.y- v`E (—g)rvv‘Svo,c
CONTRACTOR Fa►- T h Kea lti
ELECTRICAL CONTRACTOR Sa,n,
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK Ei1 ALL APPLICABLE
USE CATEGORY
❑Multi-Family(number of units ) ECommercial ❑Industrial
CHECK®ALL APPLICABLE
filCameras EMotion ❑Telephone Video ❑White Noise Systems
.Data Security ❑Television ['Voice
❑Fire Alarm El Sound ❑Other
DESCRIPTION OF ALL WORK BEING DONE
T.44e.i 1 44" ?o L 1
iv 3--0.1\ 3./'4„ CetidrJ a an -ctvtct --4a ?elk (-�--- Lnw flog
3� T
4.44 n F.1,. b f'i' + 2 v C ?el
'4) Tv.u..)-..11 C'c.w.4)v a s +
A 614
VALUE (Including labor and all materi for cable installation(s) $ /S) 5-4-/O.
I/)
APPLICANT SIGNATURE
OB/09