HomeMy WebLinkAbout0093337-Electric CD CITY OF OSHKOSH No93337
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 340 S KOELLER ST Owner OSHKOSH THEATRES CORP Create Date 04/01/2002
Contractor JACKS ELECTRIC INC Category 643 - Commercial- Addition /Remodels Plan
Service b New O Change O Temp Type O Overhead O Underground
Volts 120 Circuits 3 Fixtures 38
Amps 30 Switches 0 Receptacles 0
Appliances Electric sign.
Use /Nature of COMM/ Alteration to the lobby, ticket booth, concession stand & entrance
Work
Fees: Valuation $10,000.00 Plan Approval $0.00 Permit Fee Paid $180.00
Issued By: Date 04/01/2002
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 117 N DOUGLAS ST APPLETON WI 54914 - 0 Telephone Number (920) 733 -1591
•
Ec
Division of Inspection Services
•
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
oN H -" = Fax (920) 236-5084
Phone (920) 236 -5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 7 a8' - ado 9%..
JOB ADDRESS 2¥4 j . 4.1...14.4./ --
OWNER Th L4 1
CONTRACTOR .. - / in,..,_
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE TEMPORARY NOT PLICABLE
TYPE OVERHEAD UNDERGROUND (:EIOT APPLICABLE
NO. OF FIXTURES 3 7 SWITCHES RECEPTACLES CTRCUITS
AMPS ,TO Q VOLTS /AO / PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL DRYER
DISHWASHER FAN OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE
A gytryea 1, 12%
• 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 labor and all materials including light fixtures) $ MI, 400-04i
MASTER ELECTRICIAN ti /..er.