HomeMy WebLinkAbout0102292-Electric (lab wiring)OSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
1100W SMITH AVE
TOWN & COUNTRY ELECTRIC
[~ New (~ Change (~ Temp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner OSH AREA SCHL DIST NORTH HIGH
Category 643- Commercial-Addition/Remodels
No 102292
Create Date 06/17/2003
Plan
Type I~ Overhead ~ Underground
Circuits 6 Fixtures
Switches 0 Receptacles
0
33
Appliances
Use/Nature of COMM/Lab wiring to include: projector, tele-power poles, techline power feed and reconfigure existing receptacles & circuits (6).
Work
Fees: Valuation
Issued By:
$2,950.00 Plan Approval $0.00 Permit Fee Paid $75.00
Date 06/19/2003
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 2662 AMERICAN DR / PO BOX 627 APPLETON WI 54912 - 627 Telephone Number
(920)225-6507
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ELECTRICAL PERMIT APPLICATION
Alt information after bold categories must be provided.
Incomplete applications will not be processed.
· 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 is 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 []
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JOBADDRESS ilO0 ~ ~i'~
OW R O hk:o.sh /::)tea , c_.hool
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
ElSingle Family F1Duplex
F1Multi-Family
SERVICE FINew
[qChange
F1Temporary
ElNot Applicable
EIRental X~Commercial Fllndustrial
TYPE F1Overhead V1Not Applicable
ElUnderground
FILL IN TIlE APPROPRIATE BLANK WITH THE NUMBER
Volts · / Receptacles # 3~
Phase
Amps Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
ElRange ElDishwasher FIGarbage Disposal ElDryer
ElFan OR Blower IDFurnace EIA/C V1Electric Sign
E]Motors V1Gas Pumps ElOther
DESCRIPTION OF ALL WORK BEING DONE ~e~--- gt~_~ch~,
FlWater Heater
VALUE (Including labor and all materials including light fixtures)
3/02
475,0(