HomeMy WebLinkAbout0101231-Electric (backlit emblem)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
2580 W 9TH AVE Owner CALVARY LUTHERAN CHURCH
SCHAFER ELECTRIC INC Category 643- Commercial-Addition/Remodels
~) New (~ Change O Temp I Type (~) Overhead
Circuits 1
Amps 0 Switches 1
No 101231
Create Date 04/04/2003
Plan
(~ Underground
Fixtures
Receptacles
Appliances Electric Sign.
Use/Nature of Church/Wiring for a backiit cross.
Work
Fees: Valuation
Issued By:
$400.00 Plan Approval $0.00 Permit Fee Paid $20.00
[] Permit Voided j
Date 05/02/2003
In the performance of this work I agree to perform all work pursuant to rul.es governing the described construction.
Signature Date
Agent/Owner
Address 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
(920) 725-2031 M 585-3'
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
CENED
ELECTRICAL PERMIT
AH in£ormafion a£te~ bold
l~comPlete ~pp Hc ations ¢~.~ ~-o~ ~s~
O/HKO/H
ON THE WATER
· 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) wili result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
.If you are a contractor participatin~ in the Permit Fee Account'$¥stem and have adequate funds, check here
i£ vou want this processed through your account []
DATE ,~'-'/- 0 ~
OWNER~
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
ElSingle Family V1Duplex VIMulti-Family V1Rental
SERVICE F1New F1T_emporary TYPE
[2]Change l~Not Applicable
[~ommercial r"llndustrial
[]Overhead 12~ot Applicable
[]Underground
FILL IN Tlq'E APPROPRIATE BLANK WITH THE NUMBER
Volts / Receptacles # / Circuits
Phase
Amps- Switches # / Fixtures
CF[ECK [] ALL APPLICABLE
[]Range VIDishwasher []Garbage Disposal F1DrYer [2]Water Heater
V1Fan OR Blower [2]Furnace []A/C ,1~ctric Sign
VIMotors F1Gas Pumps VIOther
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN
3/02