HomeMy WebLinkAbout0099653-ElectricOSHKOSH
ON THE WATER
.lob Address 3250W 9TH AVE
Contractor ARROW ELECTRIC OF OSHKOSH
Service [~ New (~) Change
Volts 120/208
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner NEW LIFE COMMUNITY CHURCH INC
Category 642- Commercial-New Building Wiring
Amps 150
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 99653
Create Date 01/09/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/ LATE PERMIT/ Wiring for Bldg C. *Late fee waived per KB.
Work
Fees: Valuation
Issued By:
$60,000.00 Plan Approval $0.00 Permit Fee Paid
$330.00
Date 02/03/2003
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 Inspection Services
P.O. BOx 1130
Oshkosh, WI 5;4903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
OSHKOSH
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 54903-112 $. 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 £unds, check here
~f vou want this processed throu~'h your accoun_t []
DATE
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts :/_'-~ a / .-~-o~' Receptacles #
Phase 7. ?
Amps /.5-0 ~,~?J Switches #
CHECK [] ALL APPLICABLE
FlRange FIDishwasher
F1Fan OR Blower F1Furnace
FlMotors r']Gas Pumps
Circuits #
F1Garbage Disposal
mA/C
FlOther
DESCRIPTION OF ALL WORK BEING DONE (.~
vAi~,UE:(Including lab°'~:.~/n'd ali materials including light fixtures) $ ~'~ff ~ oa o
Fixtures #
IZIDryer [ZIW~
F1Electric Sign
..:/ .,,
MASTER ELECTRICIAN /4~,'/.6 ~¢Lo~v,,-,
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