HomeMy WebLinkAbout0098612-Electric (sign)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
2505 OREGON ST
LARK ELECTRIC
[~ New (~ Change (~ Tamp
Amps 15
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MAURO/CYNTHIA MARTINEZ
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 98612
Create Date 05/06/2002
Plan
~ Underground
Fixtures
Receptacles
Appliances Sign
Use/Nature of COMM/ Wiring for a 14' tall pylon sign with 4' x 6' illuminated sign.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid
$20.00
Date 11/13/2002
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 P O BOX 3960 - 280 E FERNAU AVE OSHKOSH WI 54903 - 3960 Telephone Number
(920) 426-4252
City of Oshkosh
Division of Inspectmn Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
NOV 1 3 20,7/_'
ELECTRICAL. PERMI~'E~~~N
^1] inror~at,o~ aa~ bo¢4~~~~[NT
Incomplete applica~~df bd pYo~~'''
O/HKO/H
ON THE WATER
· 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 participatin~ i~ the Permit Fee Account System and have adequate funds, check here
if you want this vrocessed through your account []
DATE It
JOB ADDRESS
025-0 ~ ~7',~ G
OWNER (r /9.,q c &
CONT CtOR
CHECK lEI ALL APPLICABLE
USE CATEGORY
F'lSingle Family l-lDuplex F1Multi-Family
SERVICE [3New U1Temporary
FlChange [3Not Applicable
IZIRental
TYPE
[EICommercial Dlndustrial
[3Overhead [3Not Applicable
[3Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 12. o / Receptacles #
Phase /
Amps /~' Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[3Range EIDishwasher IZlGarbage Disposal
IZIFan OR Blower F1Fumace IZIA/C
F1Motors I-1Gas Pumps IZIOther
DESCRIPTION OF ALL WORK BEING DONE
[3Dryer
EIElectric Sign
I-lWater Heater
VALUE (Including labor and all materials includ~g lightj~Xtures) $
3/02