HomeMy WebLinkAbout0099061-Electric (wire lift)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1860 HARRISON ST Owner
Contractor LARK ELECTRIC Category
Service ~ New O Change O Temp 1
Volts 120 Circuits
Amps 30 Switches
OSHKOSH PAPER SALVAGE CO
655 - Industrial-Motor/Control
Type (~ Overhead
0
0
No 99061
Create Date 12/11/2002
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Nature of ND/Wire lift,
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By:
[] Permit Voided j
Date 12/11/2002
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
~ity of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEJVED(
DEC 2002
DEPARTMENT OF O./HKO_/H
ELECTRICAL PERMIiC0. t YA PMENT ON THF, ^TE
Ali ~fo~tio~ a~¢~ bold categories must be pmvM¢d.
I:comp]cte applications will ~ot 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
(f you want this processed through your account []
DATE .~- '.~ '~ C' O'2--
JOB ADDRESS ~ <~ ('~ o f-///4/~/~'~/9"'
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
nSingle Family r'lDuPlex [2Multi-Family
SERVICE [3New F1Temporary
F1Change [3Not Applicable
[-IRental
TYPE
F1Commercial IE]Industrial
F1Overhead [2]Not Applicable
I-1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~ ~ o / Receptacles #
Phase ~
Amps · 3 o Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
F'lRange F-1Dishwasher [3Garbage Disposal
[3Fan OR Blower [3Furnace F1A/C
[2Motors F1Gas Pumps [2Other
DESCRIPTION OF ALL WORK BEING DONE
F1Dryer
E]Electric Sign
ElWater Heater
VALUE (Including labor and all materials~ inc~ig~h~t ~tures) $
MASTER ELECTRICIAN