HomeMy WebLinkAbout0155219 - Electric (low voltage) 0 CITY OF OSHKOSH No 155219
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1736 W 9TH AVE Owner TVC CONSTRUCTION Create Date 04/23/2013
Contractor SUBURBAN ELECTRICAL ENGINEERINI Category 642-Commercial-New Building Wiring Plan
Inspector Adam Krause
Service O New O Change O Temp • N/A Type O Overhead 0 Underground
Volts Circuits _ Luminaires
Amps Switches Receptacles
Appliances Fire Alarm,Security
Use/Nature of COMM(CVS STORE)/INSTALL LOW VOLTAGE WIRING TO INCLUDE FIRE ALARM AND BURGLARY SYSTEM **check#59117
Work
Fees: Valuation / $7,600.00 Plan Approval $0.00 Permit Fee Paid $189.00
Issued By: am Date 04/23/2013
❑ Permit Voided Parcel Id# 0613170000
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 709 N HICKORY FARM LN APPLETON WI 54914 -3032 Telephone Number (920)739-5156
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
Division
Divvi sion of Inspection Services
P.O.Box 1130
411111)
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of HKOJH
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 04/19/13
JOB ADDRESS 9th Avenue & Koeller NE, Oshkosh, WI 54902
OWNER CVS Pharmacy
CONTRACTORSuburban El Pctric
ELECTRICAL CONTRACTOR
(Locally Licensed Electrical Contractor conducting the associated power wiring)
CHECK m ALL APPLICABLE
USE CATEGORY
❑Multi-Family(number of units ) Commercial ❑Industrial
CHECK D ALL APPLICABLE
❑Cameras ❑Motion ❑Telephone ❑Video 0 White Noise Systems
❑Data ®Security ❑Television ❑Voice
Wire Alarm ❑Sound ❑Other
DESCRIPTION OF ALL WORK BEING DONE Installation of f ire alarm and burglary
System.
VALUE (Including labor and all materials for cable installation(s) $7,600.00
APPLICANT SIGNATURE p Uldtk
08/09