HomeMy WebLinkAbout2003-Electric (subpanel)OSHKOSH
ON TIlE WATER
Job Address 2351 RYF RD
Contractor M M ELECTRIC
Service ~) New
Volts 120 / 208
(~) Change
CITY OF OSHKOSH No102935
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner COMMUNITY CHURCH
Category 643- Commercial-Addition/Remodels
(~ Temp Type Q Overhead
Circuits i Fixtures
Switches 2 Receptacles
Am ps 100
Create Date 07/18/2003
Plan
~'~ Underground
Appliances ights, recepts, sub panel
Use/Nature of 3hurch/Install 60A sub panel
Work
Fees: Valuation
Issued By: ~
$150:00 PlanApproval
$0.00 Permit Fee Paid $20.00
[] Permit Voided J
Date 07/18/2003
In the performance of this work I agree to perform ali work pursuant to rules governing the described construction.
Agent~Owner
Address 332W 15TH AVE Oshkosh WI 54902 - 0 Telephone Number 426-2346
City of Oshkosh
Divisi°n of Inspection Services
P.O. Box 1130
Oshkosh, Wt 54903-1130
Phone (920) 236-5050
Fax (920) 236-5054
O HKO./H
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
JOB ADDRESS o~ ~ -~! /~ Y'tC'
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
DSingle Family F1Duplex FlMulti-Family
SERVICE FINew F1Temporary
FIChangc F1Not Applicable
l-IRental l~]Commercial Fllndustrial
TYPE I-IOverhead [3Not Applicable
[3Underground
FILL IN THE APPROPRIATE BLANK WITH TH E NUMBER
Volts zZo / Zo~ Receptacles # ff
Phase A
Amps / o O Switches # ~
Circuits
Fixtures
CHECK [] ALL APPLICABLE
FIRange
F1Fan OR Blower
I"lMotors
[3Dishwasher
[3Furnace
F1Gas Pumps
[3Garbage Disposal
F1MC
[]Other ~ ,l'n~
DESCRIPTION OF ALL WORK BEING DONE
F1Dryer [3Water Heater
F1Electric Sign
VALUE (InclUding labor and all materials including light fixtures) $ ~:~//~O. OO
3/02