HomeMy WebLinkAbout2003-Electric (weight room)OSHKOSH
ON THE WATER
Job Address 110 N SAWYER ST
Contractor TRUCK ELEC
Service [~ New (~ Change (~ Temp
Volts
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner LOURDES ACADEMY
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 8
No 102439
Create Date 06/25/2003
Plan
~ Underground
Fixtures
Receptacles
0
14
Appliances
Use/Nature of COMM/Remodel weight room.
Work
Fees: Valuation
Issued By:
$4,000.00
Plan Approval
$0.00 Permit Fee Paid
$90.00
Date 06/25/2003
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
O/HKO/H
ON THF V~ATER
ELECTRICAL PERMIT APPLICATION
All 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 ,4ccount System and have adequate funds, check here
if you want this processed through your account []
JOB XtmlmSS ,/lO [).
~' ~ ~ - _~ . % ' , ,~
CHECK [] ALL APPLICABLE
USE CATEGORY
f-lSingle Fami. ly f-lDuplex F'lMulti-Family
SERVICE FINew [3Temporary' .......
DChange ElNot Applicable
[3Rental
TYPE
~mmercial [3Industrial
FIOverhead Elt~t Applicable
F1Underground
FILL IN TFIE APPROPRIATE BLANK WITH TI-W~ NUMBER
Volts / Receptacles
Phase
Amps Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
[2]Range I-IDishwasher FIGarbage Disposal
I-IFan OR Blower F1Fumace l"lA/C
I-IMotors [3Gas Pumps [3Other
DESCRIPTION OF ALL WORK BEING DONE_ (--~~ ·
FIDryer i-lWater Heater
r'lElectric Sign
. VALUE (Including labor and al~; et
MASTER ELECTRICIAN./ t//'!
3/02