HomeMy WebLinkAbout0158914-Electric (low voltage) � CITY OF OSHKOSH No 158914
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
- ON THE WATER
Job Address 2017 JACKSON ST Owner FAMILY DOLLAR STORES OF WISCONSIN Create Date 11/22/2013
Contractor TECH ETC Category 643-Commercial-AdditioNRemodels Plan
Inspector Adam Krause
Service New � Change � Temp � N/A _ _JI Type � Overhead � Underground i
Volts Circuits Luminaires
Amps Switches Receptacles
Appliances �,Data Telephone
�
I
Use/Nature of OMM(FAMILY DOLLAR)/INSTALL LOW VOLTAGE WIRING TO INCLUDE 14 CAT5E NETWORK DROPS,CELLULAR ANTENNA,
Work OMMUNICATIONS HARDWARE FOR NETWORKAND PHONE SERVICE *"check#109
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Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: �� Date 11/26/2013
� Permit Voided I Parcel Id# 1219090100
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
AgenUOwner
Address 1052 MAIN ST STE 101 STEVENS POR WI 54481 -2848 Telephone Number (715)544-7976 .
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.
°om FaxZero Thu 21 Nov 2013 12 : 15 : 28 PM EST Page 3 of 4 ;
City of osiilcosh
Disisiaa of Iu.�Fec;tion Ser�•ices �
P.D.Box i 130 �
Oshkosk�,WI 5�9D,3-1 i34
Phone(92G}236-SOS�
Fax (92U)?36-5084 _��\ , ��
. t:'�5?�..e�:YnTE.R
L4VY VOLTAGE ELECTRICAL PERMIT APPt�.ICAT1�}N
Alt infannation after bnld categari�.s must be provided.
Incomplete�pticstions wiFl not be prc+cessed.
+� Appiictttiar�s)and tec(s}c�nn be brou�l�t tv�tit�+H�11,Room 2C15 cn-mailed to Ins�c,ctirni SerVicas,P(�Box I 128.
f}shkasli V4� 549�3-��.2&. Gouunencin�work t4ittiout permit(s)will result iu fees being donbled vr S1(►0.00 plu>�thc
n�mnal pemut fee, which ever is greAter.
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• u nre a conlrac�o�'�at•iictgating rn the Per�mrt Fee Accotrrrt 5��srein nnd have ndequate.�i�rlrls oheck here
i1'vflrr tcm11 this��r•vicesse�f ti�t•otreh rour acr.ount ❑
�ATE �la� /�, �Zr i3 — z°i 3
Jos AUDRESS ��� �C�r�do+� S�� 'S�f�lo1
01��"�R......._._�c?� �o�le�r .T�s✓G ___.._....
C'O.'�TTRACTOR ��'I �1`�-
ELECTRICAL CO:�iTRAC.T'OR �"
{Locally Li�ensed E]ectrical Coit�ractar conducting the associa�ed pawer wiring)
C'HECK 6��iI:L APPLIC�liLE
€JSE CATEGORX
OI��ul.ti-Family(nu�nt�er of«uits_� Conunercial CIInc�ustri�l
CI3EC.'K��I.L APPLIC'ABLE
C3C�feras �A�otiort C�'Feic�hane ❑Vidco C1White Noi.�Systcif�s
��st�s C7S��urity QTeievisiQn DVnice
❑�ire Alar�n ❑Sotmd ❑U#he�r
n�sc�u��rzo:� a��ai.r.waa����.�Tc Do�v� 1 S� �e�Se ��F �s,
Ct/�v/�i' A�If��trt�4 � Go�I�ai�io�1 I�r•E,r�t•'� �r I��idd✓.�. �sd„o/�r-
$�°Vv ic E
��ALL'E(Iscluding labor�n�F all materia or cAble ins Astonf$3 � ��' �
APPLICA:tiT SIGN.�I'i RtE
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