HomeMy WebLinkAbout0101535-Electric (UG soffit/OH lights/wall receptacle)OSHKOSH
ON THE WATER
.lob Address 248 DAKOTA ST
Contractor TRUCK ELEC
Service [~ New
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner THOMAS G RUCK
Category 643- Commercial-Addition/Remodels
Amps 100
Change ~) Temp
Type I~ Overhead
Circuits 1
Switches 4
No 101535
Create Date 05/16/2003
Plan
~ Underground
Fixtures
Receptacles
10
4
Appliances
Use/Nature of COMM/ RENTAL/ Install (6) gang UG metal soffit. Install (3) sub-panel OH lights and wall recp.
Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
$75.00
Date 05/16/2003
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 690 W 3 RD AVE OSHKOSH WI 54902 - 0 Telephone Number
(920) 233-7191
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THF M/AT~R
· Application(s) and fee(s) can be brought to City Hall, 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
normal permit fee, which ever ~s 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 []
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
F1Single Family F1Duplex [:]Multi-Family
SERVICE [~ew F1Temporary
F1Change F1Not Applicable
[~R~ntal
TYPE
[~ommercial I"llndustrial
F1Overhead [=]Not Applicable
Et~'nderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts/e2t3 / ~4o Receptacles # V Circuits
Phase' / O~
Amps '~4~_~(~ Switches # q Fixtures
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher [3Garbage Disposal [3Dryer [:]Water Heater
F1Fan OR Blower FIFumace r-lA/C [3Electric Sign
FIMotors F1Gas Pumps F1Other
DESCRIPTION OF ALL WORK BEING DONE "~.~ (.~.~..k..~ t:2?~J~, /-J~gr-- [}~5~./-.. rt
VALUE (Including labor///and al~at~ Ii "-
MASTER ELECTRICI4j //,
3/02