HomeMy WebLinkAbout2007-Electric (receptacles)
G
OSHKOSH
ON THE WATER
Job Address 1025 W 5TH AVE
CITY OF OSHKOSH
No
125367
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SACRED HEART CHURCH
Create Date 06/15/2007
Volts
Circuits
Type 0 Overhead
7
Plan
o Underground
Contractor DENNIS P BRENNAN
Category 643 - Commercial-Addition/Remodels
Service
10 New 0 Change 0 Temp
120/240
Luminaires
. N/A
Amps
Receptacles
7
200
Switches
Appliances
,
Use/Nature of COM/ Computer receptacles
Work 3-phase
Fees: Valuation
$1,600.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Issued By:
?7~,
Date 06/15/2007
o Permit Voided I
Parcel Id # 0606630000
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 work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary xPprovals before starting such activity.
Signature ~ ~ U ~ Date
Agent/Owner
Address
1423 RAINBOW DR
OSHKOSH
WI 54902 - 2648
Telephone Number (920) 232-7237
(
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), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1~30
Phoneo(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
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 $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
[fvou are a contractor lJarticilJatinrr in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this 'Drocessed throurrh vour account D. 0
DATE ~/IJ/V7
.
JOB ADDRESS f () '?. S- w
OWNER 0 S' ftc.e.il.11 }~UW-T
o CO~CTOR 0 itivl-t$'
r TIf- A-vt
C M-v f..q,t
~ fL 1'1. I'-- /'- (li1.-
CHECK fa ALL APPLICABLE
USE CATEGORY
OSingle Family DDuplex
DMulti-Family
DRental
WCommercial
Ofudustrial
..SERVICE ONew
OChange
DTemporary
DNot Applicable
TYPE DOverhead
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
o Volts J lei I "l-i(d
:phase "3
~mps '2.<10
Receptacles #
7
Circuits #
7.
Switches #
Fixtures #
CHECK fa ALL APPLICABLE
ORange
OFan OR Blower
OMotors
DDishwasher
DFurnace
OGas Pumps
OGarbage Disposal
ONC
DOther
ODryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORKBEINGDONE~t.~ ~/1lI~l(iJ
f C;~e Co", pc) T fl4t. r
0<;'
o 0 VALUE (Including labor and all materials including light ilXtures) $ }.c' d () ,
MASTER ELECTRICIAN fJ 1(.....1- ':f 0 f'~ f{ ~f-.,.,'-
3/02