HomeMy WebLinkAbout0098873-Electric (music room) CITY OF OSHKOSH No 98873 S Cgit t'
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OSHKOSH ELECTRIC PERMIT APPLICATION AND RECORD ,ca
ON THE WATER
Job Address 619 MERRITT AVE Owner ST FRANCIS CABRINI ELEMENTARY SCHI Create Date 12/02/2002
Contractor DENNIS MCHUGH Category 643 Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 3 Fixtures 0
Amps 0 Switches 0 Receptacles 30
Appliances
Use /Nature of COMM/ Install recps for keyboard musical devices in Cabrini School Music Room.
Work
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: Date 12/02/2002
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 1220 GREENFIELD TRL Oshkosh WI 54904 0 Telephone Number
City of Oshkosh why,
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OfHKOIH
ON THE 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
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account
DATE r 2-0
JOB ADDRESS iq /nC2fvt7'7-- AVE-
OWNER `5t lv>Arz y 0.140M4
CONTRACTOR DE tJ 05 11 GO-
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts Receptacles 30 Circuits
Phase
Amps Switches Fixtures
CHECK Eli ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
1195tALt.. R rot?, K YSOAt2n in 115CCkt PeVi.cgs
UA1521k) 5CN -00L NV56C (aooi
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN II i g
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