HomeMy WebLinkAbout0098873-Electric (receptacles)OSHKOSH
ON THE WATER
Job Address 619 MERRITTAVE Owner
Contractor DENNIS MCHUGH Category
Service D New O Change O Temp I
Volts Circuits
Am ps 0 Switches
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
No 98873
ST FRANCIS CABRINI ELEMENTARY SCH~
643 - Commercial-Addition/Remodels
Type (~) Overhead
3
0
Create Date 12/02/2002
Plan
(~ Underground
Fixtures
Receptacles
30
Appliances
Use/Nature of COMM/Install recps for keyboard musical devices in Cabrini School MusiC Room.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 12/02/2002
[] 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 1220 GREENFIELD TRL Oshkosh WI 54904 - 0 Telephone Number
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THF \.VATEE
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
l£ vou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JOB ADDRESS
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family []Duplex []Multi-Family
SERVICE FINew I-ITemporary
I-IChange IZlNot Applicable
[]Rental
TYPE
•Commercial []Industrial
F1Overhead F1Not Applicable
IZIUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # ~ 0
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
I-IRange [:]Dishwasher FIGarbage Disposal
I-IFan OR Blower ElFurnace F1A/C
•Motors []Gas Pumps []Other
DESCRIPTION OF ALL WORK BEING DONE
DD~c~ •Water Heater
DElectric Sign
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN . ff ~.lln
3/02