HomeMy WebLinkAbout0091770-Electric (elevator control system) 0 CITY OF OSHKOSH No 91770
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD OEVISED
ON THE WATER c O9S-nS4
Job Address 605 MERRITT AVE Owner ST MARY'S CATHOLIC CHURCH Create Date 12/11/2001
Contractor SOLAR ELECTRIC SERVICES INC Category 643 Commercial- Addition /Remodels Plan
Service 0 New Q Change Q Temp N/A Type Q Overhead Q Underground
Volts Circuits 0 Luminaires 0
Amps 0 Switches 0 Receptacles 0
Appliances
Use /Nature of CHURCH/ Install control system for elevator recall
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: Date 12/11/2001
Permit Voided I Parcel Id 0404350000
In the performance of this work 1 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 approvals before starting such activity.
Signature Date
Agent/Owner
Address 3443 BROOKS ROAD OSHKOSH WI 54904 0 Telephone Number 231 3990 fax236 7725
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.
C.) CITY OF OSHKOSH No 91770
OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 442 MONROE ST Owner ST MARY'S CATHOLIC CHURCH Create Date 12/11/2001
Contractor SOLAR ELECTRIC SERVICES INC Category 643 Commercial- Addition /Remodels Plan
Service }0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits Fixtures
Amps Switches Receptacles
Appliances
Use /Nature of CHURCH/ Install control system for elevator recall.
Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Issued By: kill Date 12/11/2001
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 3443 BROOKS ROAD OSHKOSH WI 54904 0 Telephone Number 231 -3990 fax236 -7725
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax (920) 236 -5084
COLZEI Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
life* DATE /io
JOB ADDRESS A it P Q i'°
OWNER 9 /1/1 t t s 0 U tAiiI'C1"--
CONTRACTOR ,1.- /tic
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES CIRCUITS
AMPS VOLTS PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE c t e O YI AyU S y/ j
4033 tQ .&0-a P e ce4
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) 0 2600 0d
MASTER ELECTRICIAN _t K ea.......,--
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