HomeMy WebLinkAbout2002-Electric / CITY OF OSHKOSH No97053
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 110 N SAWYER ST Owner LOURDES ACADEMY Create Date 08/28/2002
Contractor SCHOMMER ELECTRICAL CON Category 643 - Commercial- Addition /Remodels Plan
Service Q New Q Change Q Temp Type Q Overhead Q Underground
Volts Circuits 10 Fixtures 18
Amps 0 Switches 12 Receptacles 25
Appliances Furnace & NC.
Use /Nature of COMM/ Convert second floor classroom into an office suite.
Work
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $90.00
Issued By: V_Wt Date 09/04/2002
❑ 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 N 164 TWO MILE ROAD APPLETON WI 54914 - 9121 Telephone Number (920) 731 -2299
( g )
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, 0) 543 1130
Fax (920) 290
36 -
5084
ON THE WATER Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 09/03/02
JOB ADDRESS 110 N. Sawyer (Oshkosh Lourdes)
OWNER (Builder) Curtiss Homes
CONTRACTOR Schommer Electrical Contracting, Inc.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTCOMMERCIA:DINDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES a SWITCHES (Z RECEPTACLES 2 CIRCUITS II
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C J
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE office remodel wiring
• 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 labo d all mat =r. = sncluding light fixtures) $ 3,500.00
/G - ________.-- Fee Amt - $90.00
MASTER ELECTRICIAN
Robert A. Schommer