HomeMy WebLinkAbout0101050-Electric (circuits)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
JobAddress 608ALGOMA BLVD Owner OSH AREA SCHL DIST LINCOLN SCHOOL Create Date 04/25/2003
Contractor TOWN & COUNTRY ELECTRIC Category 643- Commercial-Addition/Remodels Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 8 Fixtures
Switches 0 Receptacles
Amps 0
No 101050
Appliances
Use/Nature of Lincoln School / Addition & reconfigure existing circuits in the lab. Installation to include two Tele / Power Poles and tie in two "Techline Power
Work Feed Tails"
Fees: Valuation
Issued By:
$2,355.00 Plan Approval $0.00 Permit Fee Paid $75.00
Date 04/28/2003
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
City of Oshkosh
Division of Inspection Services ~~
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084 Od H~Od H
ON TIlE WATER
RECEIVED
APR 1 5 200f
ELECTRICAL PEP~I[~~?
^1] info~atio, after bold
Inco~lete applications Will not be proces~e~'~l~/
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Serv/ces, PO Box 1128,
Oshkosh WI 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 Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
JOB ADDRESS
CHECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family FqDuplex []Multi_Family []Rental
SERVICE []New F1Temporary TYPE
[3Change [3Not Applicable
I-1Commercial Ullndustrial
[] Overhead []Not Applicable
[3Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
[3Range [3Dishwasher []Garbage Disposal
[]Fan OR Blower F1Furnace [3A/C
U1Motors []Gas Pumps 12Other
[-1Dryer
F1Electric Sign
DESCRIPTION OF ALL WORK BEING DONE
[3Water Heater
VALUE (Including labor and ali materials including light fixtures)
Faith Technologies, Inc.
2662 American Drive
P.O. Box 627
Appleton, WI 54912-0627
(920) 738-1500
Electrical - Base Requirements
2
2
Add & Reconfigure existing Circuits within existing Lab (includes Conduit, Wire,
and Splice Boxes as needed). A total of 6 Circuits will be used.
Tele/Power Poles (provide and install).
Tie-in Techline Power Feed Tail.
New Branch Conduit to existing Panel.
Use existing Wiremold where possible.
Project Cost: $2,355.00