HomeMy WebLinkAbout0102001-Electric (outside lights)OSHKOSH
ON THE WATER
Job Address 1 N MAIN ST
Contractor TRUCK ELEC
Service [~ New (~ Change (~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CITY OF OSHKOSH
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 102001
Create Date 06/05/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/Install 2 light fixtures on exterior of bldg.
Work
Fees: Valuation
Issued By:
$1,300.00 Plan Approval
$0.00 Permit Fee Paid
$60.00
Date 06/05/2003
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 \,VATtER
· 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 m 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 S),stem and have adequate funds, check here
(f you want this processed through Four account []
USE CATEGORY
I-ISingle Family UIDuplex
ElMulti-Family EIRental
TYPE
SERVICE [3New
EIChange
VIT~emporary
I~l~ot Applicable
~l~/ommercial Fllndustrial
[3Overhead E~ot Applicable
F1Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles #
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
EIRange EIDishwasher [3Garbage Disposal
F1Fan OR Blower [3Furnace EIA/C
F1Motors FIGas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE ~'~
EIDryer F1Water Heater
[3Electric Sign
VALUE (Including labor and a~/~a~ ~i/~ls including ,ight~ffx~s) $ /~(~') ' 7
MASTERELECTRICIANi/ [i ~Q~.x~ ~'/0 ~ ~'
3/02