HomeMy WebLinkAbout0100282-Electrical (lab)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1600 HAZEL ST
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSH AREA SCHL DIST EMELINE COOK
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 100282
Create Date 03/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/ Install 6 new circuits in the lab. Install 13 - 120V receptacles in the furniture.
Work
Fees: Valuation
Issued By:
$3,$90.00 Plan Approval $0.00 Permit Fee Paid
$90.00
Date 03/19/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THE WATER
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Serv/ces, PO Box 1128,
Oshkosh WI 5490%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
Jf vou are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
~OB ADDRESS t[oO0 Hazel
CONTRACTOR
dlb]a
CHECK [] ALL APPLICABLE
DATE 3-t7-O3,
USE CATEGORY
fi]Single Family fi]Duplex [2Multi-Family [2Rental
SERVICE []New F1Temporary TYPE
[]Change I-1Not Applicable
,~Commercial E]Industrial
[] Overhead [2Not Applicable
FlUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / ReCeptacles g J ~ Circuits #
Phase
Amps Switches # Fixtures #
CHECK [] ALL APPLICABLE
[2Range []Dishwasher F1Garbage Disposal 12Dryer
ElFan OR Blower F1Furnace F1A/C [Electric Sign
fi]Motors F1Gas Pumps IZIOther
F1Water Heater
DESCRIPTION OF ALL WORKBEING DONE (/.o'~ ne~3 c{eCuitS in 'Lab and
.. (J3) 12Or Recep3.~3c./c~ ins'kalT~d in nCu~nit:.u~e,.
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN ~b0~ C~.