HomeMy WebLinkAbout0153443 - Electric (wiring new addition) el) OF OSHKOSH
No 153443
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER Create Date 11/08/2012
Job Address 725 BUTLER AVE Owner WINNEBAGO COUNTY
Contractor CC Plan
Inspector &N Category 643-Commercial-Addition/Remodels
Inspector Adam Krause
---- Underground
N/A Type Overhead New � Change Temp--- --------
Service L_ 0 Tem_ -- Luminaires
Circuits _
Volts -- Receptacles
Switches _—_—
Amps —_ — .—.
Appliances
Use/Nature of COMM/LOW VOLTAGE IRINGROL INCLUDE E((28)DATA AND(1 )RG6 CONNECTION ON 1ST FLOOR OR NEW ADDITION,(6)
Work DATA CONNECTIONS ON
Plan Approval $0.00 Permit Fee Paid $162.00 acct
Fees: Val ion 1 $6,330.00 pp Date 11/08/2012
Issued By:4./V ' (r/J{
0 Permit Voided 11 Parcel Id# 1529500000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
the work, if
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a nt yo contact the easement
described in this permit application within an easement,the City strongly urges the permit applicant
holder(s)and to secure any necessary approvals before starting such activity.
Date
Signature
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 Num a r,Type
phof
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your
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 OJHKOJ H
ELECTRICAL PERMIT APPLICATION ON THE VJATFR
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 X
DATE— 11/5/2012
JOB ADDRESS—725 Butler Avenue
OWNER—Winnebago County
CONTRACTOR—CC&N
CHECK 171 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental X Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # Circuits#
Phase
Amps Switches#
Fixtures#
CHECK IZI ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other - Telecom
DESCRIPTION OF ALL WORK BEING DONE
28 data and 1 RG6 connection on 1st floor of new addition, 6 data connections on lower
Level. Area 810310C
VALUE (Including labor and all materials including light fixtures) $6,330.00 Permit Fee-$162.00
RCDD Telecom Designer-Donald 9 (119es
3/02