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0143226-Electric (boiler)
0 CITY OF OSHKOSH No 143226 OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 910 N SAWYER ST Owner OSH AREA SCHL DIST ROOSEVELT SCH Create Date 09/20/2010 Contractor FAITH TECHNOLOGIES, INC. Category 643 - Commercial- Addition /Remodels Plan Service 0 New 0 Change 0 Temp • N/A Type Q Overhead O Underground Volts 208 Circuits 5 Luminaires Amps Switches Receptacles 1 Appliances 'Motors Use /Nature of ROOSEVELT ELEMENTARY SCHOOL / WIRING FOR NEW BOILER * *debit acct Work Fees: Valuation $1,865.00 Plan Approval $0.00 Permit Fee Paid $77.00 Issued By: 1 1 Date 09/20/2010 �] Permit Voided Parcel Id # 1605440000 In the performance of this work I agree to perform all work pursuant to rules goveming 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 PO BOX 260 MENASHA WI 54952 - 260 Telephone Number (920) 751 -9807 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. b 4 LQO -D City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 IOW AIMI 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 W[ 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 . ermit ee Acc un stem and have adequate funds, check here If you want this processed through your account , � 1 .0 DATE 9/7/ !� JOB ADDRESS l S iM S.p \l� t Jf' m e i . Lut 9 D +N • :-t7 'ELI c-� "1 ee I OWNER WL .!?wf s "` moist i B y' tr +tr a CONTRACTOR, �'C's� l7O [el CHECK © 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 cape/ Receptacles # 1 - 9.00 1 ' 1 / / - 30 (24-v 9 Phase ?) , r Circu # Amps OD a Switches # 0 Fixtures # 0 CHECK 21 ALL APPLICABLE ❑Range °Dishwasher °Garbage Disposal °Dryer [Water Heater °Fan OR Blower °Furnace DA/C °Electric Sign 'fotors [Gas Pumps °Other DESCRIPTION OF ALL WORK BEING DONE L 12, t _C Sor-- s " 1 ¢ i VALUE (Including labor and all materials Including light fixtures) {.J Q.' �a' � . (An �,tAxY 3 CO5 MASTER ELECTRICIAN • Ja b4.4 m Ftie 3/02