HomeMy WebLinkAbout0100279-Electric (lighting)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1001 W WAUKAU AVE
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner WINNEBAGO COUNTY
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 100279
Create Date 03/14/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/ Install emergency lighting. *Job #929001-3007.
Work
Fees: Valuation
Issued By:
$13,000.00 Plan Approval
$0.00 Permit Fee Paid
$189.00
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
03/13/2P03 THU 07:12
City of Oshkosh
Division of Imp~tion Servi~s
P.O. Box 1130
Oshkosh, WI ~4903-1130
Phon~ (920) 236-5050
Fax (920) 236-5084
FAX 920 738 8987 SERVICE
[~001/001
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be p~ovic~d.
Incomplete applicatimm will not be processed.
· Application(s) and fc~(s) can be brought to City Hall, Room 205 or mailed to Inspeclion Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work wilhout r~-mit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, whioh c'~r is greater.
OR
~_¥ou are a conlractor participar,(O.~_~n the Permit Fee Account Svstem_gnd have udequa, t.g funds, chgck here
if yoo want tht~ proce$$e~.t, hrough ?our account ~
JOB ADDRESS_
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
ElSingle Family DDuplex
ClMulti-Family
SERVICE IqNew
E]Change
C1Temporary
ElNot Applicable
l-IRental ~Commcrcial r'lIndustrial
TYPE I'lOvcrhead l-lNot Applicable
[-3Underground
FILL IN TI:IE APPROPRIATE BLANK WITH ~ NUMBER
Volts · / Receptacles #
Phase
Amps Switches g._
Circuits #.
Fixtures #
Ca~-CK I~ ALL APPLICABLE
~Range CIDishwasher ElGarbage Disposal
f'lFlm OR Blower ElFumace ~A/C
OMotors ~Oas Pumps OOthcr ~
DESCRIPTION OF ALL WORK BEING DONE_/~76 ~ l/
rlEleclric Sign
rlWatcr Heater
VALUE (Including labor and all materials including light fixtures) $ ;).4~/, 6'00~ ~
/