HomeMy WebLinkAbout2002-Electric (outlets)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts 120
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
945 N WASHBURN ST Owner DANIEL BISHOP
LARK ELECTRIC Category 643- Commercial-Addition/Remodels
J~ New 0 Change 0 Temp J Type 0 Overhead
Circuits 0
Amps 20 Switches 0
No 98861
Create Date 12/02/2002
Plan
(~) Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Supreme Video/Add outlets to rid cords.
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
AgentJOwner
Address 927 N LARK ST PO BOX 3206 OSHKOSH WI 54903 - 3206 Telephone Number
920-231-8625
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
O~_~O/H Oshkosh, WI 54903-1130
Fax (920) 236-5084
ON THE WATER
Phone (920) 236-5046
JOB ADDRESS
o~'~R
CO~CTOR
lVOqO~: 2:~ 9 2002
ca e or e
. Twill
Incomplete applications not be processed
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY
SERVICE
TYPE
NO. OF
AMPS
NEW
OVERHEAD
F I XTURE S
DUPLEX
CHANGE
UNDERGROUND
SWITCHES
VOLTS /~o /
MULTI-FAMILY RENTAL~INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES ~ CIRCUITS
PHASE
CHECK ALL APPLICABLE
RANGE
DISHWASHER
ELECTRIC SIGN
WATER HEATER
FAN OR BLOWER
MOTORS
DESCRIPTION OF ALL WORK BEING DONE
GARBAGE DISPOSAL DRYER
FURNACE A/C
GAS PUMPS OTHER
Submit payment with application. Failure to pay within 30 days will resul~ in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and a~rials including light fixtures)
MASTER ELECTRICIAN ~~- ~ ~.~_~_~_~_~ ~