HomeMy WebLinkAbout0157709-Electric (2 ceiling fans) 09/24/2013 16:23 5072166558 BOB SONGSTAD PAGE 02/02 '-
99124/2813 15;56 597634b439 A A ELECTRIC LNpGRND PAGE 03/05
: � CITY OF QSHKOSH No 1677os
OSNKOSH ELE�TRIC PERM�T-APt'LICATION AND RECORD
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City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� ��o,23�SO� � HKO H
ON 7HF V✓ATFR �
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Ha11,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
nom�al permit fee,which ever is greater.
OR
If vou are a contractor participatin� in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account ❑
DATE 9/11/2013
dOB ADDRESS 2690 Badger Ave
OWNER Wow Logistics Company
CONTRACTOR A 8 A Electric�Underground Const, Inc.
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family �Rental �Commercial ❑Industrial
SERVICE ONew OTemporary TYPE ❑Overhead (�Not Applicable
❑Change �1Not Applicable ❑Underground
FILL IN TAE APPROPRIATE BLANK WITH THE NUMBER
Volts 480 / Receptacles#2 Circuits#1
Phase 3
Amps 20 Switches# Fixtures#
CHECK�ALL APPLICABLE
�Range �Dishwasher �Garbage Disposal �Dryer ❑Water Heater
OFan OR Blower OFurnace �A/C DElectric Sign
�Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
Provide 480 volt 3 phase power to 2 ceiting fans.
VALUE(Ieclndiag labor and all materia�inclading tight fiatures)$2,200.00
MASTER ELEGTRICIAN Robert Songstad
3/02