HomeMy WebLinkAbout2012-Electric (voice and data connections) CITY OF OSHKOSH No 151669
. 0 OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST
Owner BFO FACTORY SHOPPES LLC Create Date 08/13/2012
Contractor NETWORK CABLING SOLUTIONS,LLC. Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New 0 Change 0 Temp • N/A I Type 0 Overhead 0 Underground
Circuits Luminaires
Volts -
Switches Receptacles
Amps
Appliances Data,Voice
Use/Nature of ICOMM(KAY JEWELERS-E60)/INSTALL VOICE AND DATA CONNECTIONS,DEMARK EXTENSION
Work
Fees: Valuation $900.00 Plan Approval $0.00 Permit Fee Paid $53.00 Date 08/13/2012
Issued By:
0 Permit Voided 1 Parcel Id# 1329420000
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 eska provals before starting such activity. II-1Z_
Date 0
Signature
Agent/Owner
Address 3018 IRVINGTON WAY MADISON WI 53713 -3414 Telephone Number 608-516-9757
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 OfHKOJH
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 �"� — I Z
JOB ADDRESS 3C)C)1 S
OWNER 1&-t• e„/QAe,—S
CONTRACTOR Nei-NA/0,14_ C��l`-�} SG1,..�`1 .s ,LLC
ELECTRICAL CONTRACTOR
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK®ALL APPLICABLE
USE CATEGORY
D Multi-Family(number of units ) 6d6ommercial ❑Industrial
CHECK B ALL APPLICABLE
❑Cameras ❑Motion ❑Telephone ❑Video ❑White Noise Systems
126ata ❑Security ❑Television Voice
❑Fire Alarm ❑Sound ❑Other
DESCRIPTION OF ALL WORK BEING DONE i,..st.,(G-:-E O v c-cz c,-,vf
VALUE(Including labor and all materials for cable installation(s) $ 9 00
APPLICANT SIGNATURE
08/09