HomeMy WebLinkAbout0102904-ElectricOSHKOSH
ON THE WATER
.lob Address 2235 HICKORY CT
Contractor P&J KAMPO ELECTRIC INC
Service [~ New ~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner BRIAN D/KAREN M GOLESH
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 30
Switches 40
No 102904
Create Date 07/17/2003
Plan
~ Underground
Fixtures
Receptacles
30
80
Appliances Range, Dishwasher, Furnace, Garbage Disposal, A/C & Dryer.
Use/Nature of NSFR/Service and wiring for new home.
Work
Fees: Valuation
Issued By:
$5,900.00 Plan Approval $0.00 Permit Fee Paid
$120.00
Date 07/17/2003
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 50 PHEASANT CT APPLETON WI 54915 - 0 Telephone Number
920-730-8556
Ci.~ of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 235-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATIO~L ? 6 200~
All reformation after bold categories must be provid~e~,,d,:.~ ~,
Incomplete applications will not be process'e&
· 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
I£vou are a contractor participating in the Permit Fee Account System and have adequate £unds, check here
if you want this processed through your account []
JOS i-1 ,
CHECK I~l ALL APPLICABLE
USE CATEGORY
'~ingle Family E1DuPlex E]Multi-Family
SERVICE ~[New EITempora~
EIChange F1Not Applicable
EtRental EICommercial [2Industrial
TYPE F1Overhead FlNot Applicable
~Underground
FILL IN THE APPROPRIATE BLANK SVITH THE NUMBER
Volts I)C~ / o~ctrO Receptacles # ~0 Circuits #
Phase [
Amps 'cXO(~ Switches # gZr(~ FixtUres #
Jo
CHECK lEI ALL APPLICABLE
J:~t~ange [~ishwasher ~[~3arbage Disposal ~ryer
ElFan OR Blower l~}~urnace [Zt'A/C F1Electnc Sign
[2Motors [2Gas Pumps F1Other
DESCRIPTION OF ALL WORK BEING DONE ]~)e~ ~tT~ / ~
i"lWater Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN ~--Q? ~ ~'-'~
3/02