HomeMy WebLinkAbout0103049 EOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
700 W LINWOOD AVE
SCHAFER ELECTRIC INC
[~ New (~) Change (~) Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FIRST UNITED METHOD- IST CHURCH
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 103049
Create Date 07/23/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Install 2 ea 100 watt M.H. fllod fixtures.
Work
Fees: Valuation
Issued By:
$590.00 Plan Approval
$0.00 Permit Fee Paid $25.00
Date 07/23/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
920-725-2031
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, Vii 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O./HKO./H
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal perroSt fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
i£vou want this processed through your account []
JOB ADDRESS
OWNER
CONTRACTOR~9~ ~~~
CHECK [] ALL APPLICABLE
USE CATEGORY
I-1Single Family F1Duplex ElMulti-Family
SERVICE [New
FITe_mporaEq
[]Change ~ Applicable
[3Rental ~'~ommercial [3lndustrial
TYPE F1Overhead .12'l~ot Applicable
F1Underground
FILL IN TH Iq APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps- Switches #
Circuits #
Fixtures #
CItECK [] ALL APPLICABLE
[3Range ElDishwasher [Garbage Disposal
[Fan OR Blower [Furnace [3A/C
ElMotors F1Gas Pumps [3Other
DESCRIPTION OF ALL woRK BEING DONE .~h,,~_. 0 ~_ ~..~
[3Dryer
[3Electric Sign
[3Water Heater
VALUE (Including labor and all materials including light fixtures) $
3/02