HomeMy WebLinkAbout2004- Electric (temp service)OSHKOSH
ON THE WATER
.lob Address 1100 WITZEL AVE
Contractor BELL ELECTRIC
Service [~ New ~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSHKOSH CATHOLIC HIGH SCHOOL
Category 650- Industrial-Temporary Service
Amps 100
~) Temp
Type IO Overhead
Circuits 0
Switches 0
No 106610
Create Date 02/25/2004
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of LOURDES HIGH SCHOOL / TEMP POWER
Work
Fees: Valuation
Issued By:
$20.00 Plan Approval
$0.00
Permit Fee Paid $20.00
Date 02/25/2004
Permit Voided
Parcel Id # 0609630000
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 1303 Midway Rd Menasha WI 54952 - 0 Telephone Number
920-886-6589
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.
82/2~/200~ 21:05
Fe~ OS O~ l~01p
920-733- 2713
Oshkosh Inspections
02/~2
Electric Installation Verification
(We) __ _~'c~ ~'~',~4_
(Elec[fical Con.tot N~)
- (Address) (City)
~vo ~ c0n~t~ to p~o~ cl~c in~l~on wo~ ~r
(State) (Zip Code)
(Name o£1~arty contracted to)
(Addrer~ where work will be performed)
at the following
The narare ofthework consists of-' (Check OneorDezcribe th* N-amre of Work)
Reeormeelima or new circuit for raplaccrnent Heating plant anOor A/C Condenser.
~ Reconneciion or new circuit for replacement Electric Water Heater or POWer ve~tcd
watex heater.
Rcconnecfion of the Service Entrance Cable, Meter Box, Mt~o~ to
and ~ghfing fixtures d~c to s~dlng / ~t ~ll~ Note: ~ S~ice
~ce Cabl~ ~ll require a scp~c p~it.
R~ecfion or new clrc~t for ~e ~Iac~t of o~ p~y
~ppE~es / ~x~r~.
individ~l syzt~s in a daplex or ~ndo~ni~), i~u~ng ~ s~ice
/he value of this work is $.__
] hereby verify this work wiI] b¢ performed by an employee offfais coralmny ;md further verify
lhe rcconnea::tion / installation will be done in compliance with manufa~ur~r *a-id E~cctxic code
requirements,
(Signature 6f Company Of! toot)
(Print Name of Officer)
(Date)