HomeMy WebLinkAbout0104183-Electric (lab wiring)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1551 DELAWARE ST Owner OSH AREA SCHL DIST SOUTH PARK Create Date 09/15/2003
Contractor TOWN & COUNTRY ELECTRIC Category 643- Commercial-Addition/Remodels Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 12 Fixtures
Switches 0 Receptacles
Amps 0
No 104183
Appliances
Use/Nature of COMM/Comm lab wiring to include: projector, tele-power poles, techline power feed and reconfigure existing recps and circuits.
Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid $60.00
Date 09/15/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing 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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
Z P..RECE[VED
O/HKO/H
DEPARTMENT OF
ELECTRICAL PERMIT~!~I~IJ~L~0PMENT
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 WI 54903-I 128. Commencing work without permit(s) w/ll result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatin~ in the Permit Fee Account System and have adequate funds, check here
if you want this processed through vour account []
JoB~oDm~ss iSSl Dda~aae_ S~c, (So. Ch Pack: Schwa/)
CHECK [] ALL APPLICABLE
USE CATEGORY
I-1Single Family l-IDuplex mMulti-Family
SERVICE []New r-lTemporary
[:]Change ~ot Applicable
mRental ~2ommercial E]Industrial
TYPE FtOverhead ~t~Not Applicable
nUnderground
FILL IN TB[E APPROPRIATE BLANK WITH THlg NUMBER
Volts - / Receptacles # ~>
Phase
Amps Switches #
Circuits# ~:~ /2
Fixtures #
CHECK E~ ALL APPLICABLE
[3Range r'lDishwasher
E3Fan OR Blower F1Fumace
nMotors I-1Gas Pumps
I-IGarbage Disposal mDryer
II.MC [:3Electric Sign
ElOther
IlWater Heater
DESCRIPTIONOFALLWORKBEINGDONE Ce'mm lab boiein~ 4cC> inclode '~
VALUE (Including labor and all materials including light fixtures)
YGO,OO
3/02