HomeMy WebLinkAbout0124093-Electric
o
OSHKOSH
ON THE WATER
Job Address 417 ALGOMA BLVD
CITY OF OSHKOSH
No
124093
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
THE SALVATION ARMY
reate Date 02/01/2007
Volts
Circuits
P,lan
d Underground
I Luminaires
I Receptacles
Contractor
MY ELECTRIC CORP
Category 643 - Commercial-Addition/Remodels
Service
b New
o Change
o Temp
. N/A Type 0 Overhead
Fees: Valuati
Divide existing classroom into 3 seperate classrooms (SE Comer) as per plan. Divide center office (on West). into two seperate office
~paces as per plan. NO STRUCTURAL CHANGES. Installing receptacles, switches, lights, circuits, feeders a nd subpanel.
on 3000.00 PlanA roval $0.00 Permit Fee Paid 94,(0
Switches
Amps
Appliances
Use/Nature of
Work
Issued By:
$,
~
pp
$
l~ Date 04/05/2007
trcelld # 0102070000
o Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the wqrk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easen:'..:,rl1r,t ~ i
holder(s) and to s~~:_~~XD1l..c.e~~~~~~E!,?for.e..s.~~~~~~. --
Signature C:._ Date J L/; c;: tJ '}
Agent/Owner
Address 1512 RUGBY ST OSHKOSH WI 54902 - 6360 Telephone Number 20-231-0707
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), yoJ~ Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is re~~ived. Work may
continue if the inspection is not performed within two business days from the time the project is ready~
i
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
I~
drHKOfH
ON THE WATER
ELECTRICAL PERMIT APPLICATION
AIl 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 Servi es, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doutiled or $100.00 plus the
normal permit fee, which ever is greater. J
OR
If vou are a contractor particioatiml in the Permit Fee Account Svstem and have adeq ate funds. check here
if vou want this orocessed through vour account 0 I
DA TE4/5/2007 '
JOB ADDRESS417 Algoma Blvd.
OWNERThe Salvation Army
CONTRACTORMY Electric Corp.
CHECK ItI ALL APPLICABLE
USE CATEGORY
DSingle Family
SERVICE ONew
OChange
DDuplex DMulti-Family
OTemporary
ONot Applicable
DRental [glCommercial DIndustrial
TYPE OOverhead ONot Applicable
OUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts I
Phase
Amps _
Receptacles #_
Circuits #_
Switches #_
Fixtures #_
CHECK ItI ALL APPLICABLE
ORange
OFan OR Blower
DMotors
ODishwasher
OFumace
DGas Pumps
OGarbage Disposal
OAlC
DOther _
ODryer i OWater Heater
OElectric Si~
DESCRIPTION OF ALL WORK BEING DONE_
lnstallaton of rcpt's~ switches~ lights, circuits, feeders. subpanel.
VALUE (Including labor and all materials including light fixtures) $3000.00
MASTER ELECTRICIAN