HomeMy WebLinkAbout0102528-ElectricOSHKOSH
ON THE WATER
Job Address
Contractor
Service
Volts
3250 W 9TH AVE
SCHOMMER ELECTRICAL CON
[~ New (~ Change (~ Tamp
Amps 0
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner NEW LIFE COMMUNITY CHURCH INC
Category 643- Commercial-Addition/Remodels
Type I~ Overhead
Circuits 0
Switches 0
No 102528
Create Date 06/27/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of COMM/ CHURCH/ Interior wiring of garage.
Work
Fees: Valuation
Issued By:
$200.00
Plan Approval
$0.00 Permit Fee Paid
$20.00
Date 06/30/2003
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 N 164 TWO MILE RD APPLETON WI 54914 - 9121 Telephone Number
(920) 731-2299
215 church Avenue ,
P.O. Box 11~0
Oshkosh, WI 54903-1130
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 06/24/03
JOB ADDRESS 3250 W. 9th Ave
OWNER New Life Community Churah
CONTRACTOR Schommer Electrical ContractinK, Inc.
CIRCLE ALL APPLICABLE
USE CATEC-ORY SINGLE FAMILY
DUPLEX
SERVICE NEW CHANGE
TYPE OVERHEAD UNDERGROLrND
NO. OF FIXTURES SWITCHES
AMPS VOLTS /
MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES CIRCUITS
PHASE
CHECK ALL APPLICABLE
RANGE WATER HEATER GARBAGE DISPOSAL_ DRYER
DISHWASHER FAIq OR BLOWER FURNACE A/C
ELECTRIC SIGN MOTORS__ GAS PUMPS~ OTHER
DESCRIPTION OF ALL WORE BEING DONE interior wirinK of Rarage
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labo.~ and all materials including light fixtures) $200.00
FOkSTER ELECTRICIAN ~)~//~~''~ Fee Amt - $20.00
Robert A. Sch0mmer