HomeMy WebLinkAbout0101701-Electric (wiring)OSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
JobAddress 435 HIGH AVE Owner ST PETERS CONG Create Date 05/22/2003
Contractor TRUCK ELEC Category 643- Commercial-Addition/Remodels Plan
Service I~ New (~) Change (~) Temp Type I~ Overhead ~ Underground
Volts Circuits 0 Fixtures
Switches 6 Receptacles
Amps 0
No 101701
Appliances
Use/Nature of COMM/ Install new wire and devices in locker rooms, washrooms and hall. Remove old & install new 2x4 drop in fixtures in meeting room.
Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval $0.00 Permit Fee Paid $90.00
Date 05/22/2003
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 WATER
· Application(s) and fee(i) :~an~be brought to City Hall, Room 205 or mailed to In.~pection Services, PO Box 1128,
Oshkosh WI 54903q 128i Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ~ve? is greater.
OR ..... -, !" !~."
If you are a contractor pa}'tt~cipating in the Permit Fee Account System an~.. have adequate funds, check here
if v, ou want this processed through.your account [] o
/.
CHECK [] AEL APPLICABLE
USE CATEGORY
F1Single Family
SERVICE C]New
EIChange
FIDuplex IZIMulti-Family
EiTemporarY
Eliot Applicable
F1Rental [[tC~ommercial IZllndustrial
TYPE FIOverhead Eliot Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /
Phase
Amps
CHECK [] ALL APPLICABLE
Receptacles # ~' Circuits #
Switches # ~. Fixtures #
rlRange FIDishWasher F1Garbage Disposal FIDryer FlWater Heater
rlFan OR Blower rlFurnace EIA/C i-lElectric Sign
IZIMotors IZIGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE ~~ d~.~¢~-3 &_3t 1~
VALUE (Including labor and~'~terials including light fixtures) $ ~. f
MASTERELECTRICJ /h.,t~_.~ ~-'~t.,/~
/ .... / .
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