HomeMy WebLinkAbout0100010 EOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 505 519 KNAPP ST Owner SACRED HEART CHURCH Create Date 02/28/2003
Contractor TRUCK ELEC Category 643- Commercial-Addition/Remodels Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Switches 3 Receptacles
Amps 0
No 100010
Appliances
Use/Nature of COMM/1020 W 6th Ave/SACRED HEART CHURCH/Install light fixture and switch in new washroom. Relocate existing switches.
Work
Fees: Valuation
Issued By:
$500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Date 02/28/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
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
ELECTRICAL PERMIT APPLICATION 0 ~
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE
%--') ' - -17 - '/ ,:-~ i{ ~ ~
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL CO RIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD
No. 0F F ~,~ ~ ~. ,,S..~ITCHES
FEB 2 8 20o3
CHECK ALL APPLICABLE
D£PAR
~G~ M~,,, ~ r ~EVELOP
DI m H R
UNDERGROUND
RECEPTACLE S
GARBAGE DISPOSAL
NOT APPLICABLE
CIRCUITS
FURNACE
PHASE
DRYER
A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE
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 lab*~/~ ~d all mater~ls i~n luding
light fixtures) $