HomeMy WebLinkAbout2013-Electric (wiring) /" CITY OF OSHKOSH No 154463
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 321 N SAWYER ST Owner RICHARDNIRGINIA NASLUND REV TRUST Create Date 02/12/2013
Contractor GOVERT TELECOM SERVICES LLC Category 643-Commercial-Addition/Remodels Plan
Inspector Adam Krause
Service 0 New O Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts Circuits Luminaires
Amps Switches Receptacles - _ -
Appliances Data,Voice
Use/Nature of ICOMM/LOW VOLTAGE WIRING TO INCLUDE-INSTALLING 8-CAT 5 E CALBES,TERMINATE AND TEST **check#10450
Work
Fees: Valua ion f $600.00 Plan Approval $0.00 Permit Fee Paid $38.00
y
Issued By: r / p s/ .. Date 02/14/2013
❑ Permit Voided Parcel Id# 1610750200
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 10130 S COUNTY ROAD H BELOIT WI 53511 -9618 Telephone Number (608)365-9552
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 O.IHKOJH
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 9
DATE /-4.75. � 201 3
JOB ADDRESS :342/ / v 3741.14}ypP_
/� RECEIVED
OWNER �CN (,(15 � 4 Py
CONTRACTOR (' o /t€77 7jECpm _56za/e/es i L� C FEB 112013
ELECTRICAL CONTRACTOR
(Locally Licensed Electrical Contractor conducting the associated power wiring) COMMUNITY DEVELOPMENT
PLO OF
INSPECT ;'SERVICES DIVISION
CHECK®ALL APPLICABLE
USE CATEGORY
❑Multi-Family (number of units ) t mmercial
❑Industnai
CHECK 0 ALL APPLICABLE
❑C eras ❑Motion ❑Telephone ❑ 'deo [White Noise Systems
gnats ❑Security OTelevision Moice
❑Fire Alarm ❑Sound ❑Other
•
D SCRIPTION OF ALL WO ' . B / NG DONE,,,.+ _' / �� ,y
VALUE(Including labor and all materials for cable installa n(s) $ 4 00 P
APPLICANT SIGNATU'.` �i __ _ --
08/09