HomeMy WebLinkAbout0099108-Electric (wire sign)OSHKOSH
ON THE WATER
,Job Address 411 W 20TH AVE
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner DAVID N YAKIM
Contractor SCHAFER ELECTRIC INC
Service D New O Change O Temp
Volts
Category 643 - Commercial-Addition/Remodels
I Type O Overhead
Circuits 1
Amps 0 Switches 1
No 99108
Create Date 12/17/2002
Plan
(~) Underground
Fixtures
Receptacles
Appliances Electric sign.
Use/Nature of COMM/New sign wiring.
Work
Fees: Valuation
Issued By:
$100.00 Plan Approval ' $0.00 Permit Fee Paid $20.00
[] Permit Voided
Date 12/17/2002
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 M 585-3'
~City of Oshkosh
Division of Inspection Services
P.O. Box 1130
C)~hkosh, WI 54903-1130
Pl~one (920) 236-5050
F'~x (920) 236-5084
RECEIVED
DEC 1 T
BEPART! IENT OF O/HKO/H
C0~:~i~,~i"i"¥ ~EV£LOPiVIENTo" *HF
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
I_ff,.Vou are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
if'you want this processed through your account []
J(}B ADDRESS '//'//
CO T A¢ OR
C'lfECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family nDuplex
mMulti,Family
EIRental
SERVICE [3New
F1Change
[3T_emporary
,12~ot Applicable
TYPE
DATE /.2. -/_~'- ~ 2_
~ommercial
F1Overhead
[ZIUnderground
F-llndustrial
J~2~t Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles
Phase
An~ps- Switches #
Circuits #
Fixtures #
CI:IECK [] ALL APPLICABLE
U[Range FIDishwasher mGarbage Disposal
UIFan OR Blower U1Furnace FIA/C
r']Motors nGas Pumps [2Other
DESCRIPTION OF ALL woRK BEING DONE -r---/~'/.~r')t_,
[3Water Heater
VALUE (Including labor and all materials including light fixtures) $
/Oo
3/02