HomeMy WebLinkAbout0093015-Electric (remodel)
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OSHKOSH
ON THE WATER
Job Address 449459 HIGH AVE
CITY OF OSHKOSH
No 93015
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner ST PETERS CONG
Create Date 03/07/2002
Contractor ENCOMPASS ELECTRICAL TECH NOLO
o Temp
Category 643 - Commercial-Addition/Remodels
Type 0 Overhead
Plan
Service
p New
o Change
o Underground
~
Volts
Circuits
3
o
Fixtures
o
6
Amps
o
Switches
Receptacles
Appliances
Use/Nature of COMM/ New circuit in 3rd floor lab, 2 new circuits in office, 6 receptacles (office & lab), tie-in to existing breakers, 4 telephone jacks in
Work office. (Temporary set up for Sunset School.)
Fees: Valuation
Issued By: \<. rt'\
$2,400.00
Plan Approval
$0.00
Permit Fee Paid
$75.00
Date 03/11/2002
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
2662 AMERICAN DR / PO BOX 627
Agent/Owner
APPLETON WI 54912 - 627
Telephone Number (920) 225-6507
~
OfHI<OJH
ON THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box ll30
Oshkosh, WI 54903-ll30
Fax (920) 236-5084
Phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 3 -7-02.
JOB ADDRESS LJyq J-h~h Ave.) Oshk'os h
OWNER 5t, Peter<. PaR\sh J OshJ<osh School Ois1:.eict
/ .
CONTRACTOR Et)compass Electeic.al 'TeChnoJo;tt'eS'- M l'dwestl rn~.
CIRCLE ALL APPLICABLE
SERVICE
NEW
CHANGE
TEMPORARY
INDUSTRIAL
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY, RENTAL
TYPE
OVERHEAD
UNDERGROUND
NO. OF FIXTURES
SWITCHES
RECEPTACLES
10
CIRCUITS 3
/
PHASE
AMPS
VOLTS
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWER
FURNACE
AjC_
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
. Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and all materials including light fixtures) $ 2\ 400.00
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MASTER ELECTRICIAN/~//~~ /j'J
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