HomeMy WebLinkAbout2002-Electric (computer lab) 0 CITY OF OSHKOSH No 96793
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 110 N SAWYER ST Owner LOURDES ACADEMY Create Date 08/22/2002
Contractor T RUCK ELEC Category 643 - Commercial- Addition /Remodels Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts Circuits 1 Fixtures 0
Amps 0 Switches 0 Receptacles 1
Appliances
Use /Nature of COMM/ Install sub -panel for computer lab. Install receptacle.
Work
Fees: Valuation $8,000.00 Plan Approval $0.00 Permit Fee Paid $150.00
Issued By: 46y1 Date 08/22/2002
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number (920) 233 -7191
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ED Division of Inspection Services
215 Church Avenue
P.O. Box 1130 •
H Oshkosh, WI 543 -1130
ONTMEWAEC Fax (920) 290
36 -5084
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE r
JOB ADDRESS HO SY41-0/(0 SI— OWNER / i rtfl tC., c-plL
CONTRACTOR N C .( � t � £ / r , i .) .
CIRCLE ALL APPLICABLE '
USE CATEGORY SINGLE FAMILY DUPLEX MULTI - FAMILY RENTAL 0 ;,$ INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDERGROUND NOT APPLICABLE
NO. OF FIXTURES SWITCHES RECEPTACLES f CIRCUITS
AMPS VOLTS / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS �/ GAS PUMPS OTHER
DESCR TION OF ALL OR BEING DONE �"`" fli . - AA ,3 ' ir 1-
Kati- W • '. k .. 1e�� r t s
•
• 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 1 -•• a,d all materials_ uding light fixtures) $ ' —
el
MASTER ELECTRICIAN t :A i Ai
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