HomeMy WebLinkAbout0103174-ElectricOSHKOSH
ON THE WATER
.lob Address 3229 BELLFIELD DR
Contractor VAN ERT ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES & DEVELOP I
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 20
Switches 30
No 103174
Create Date 04/28/2003
Plan
~ Underground
Fixtures
Receptacles
13
60
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Furnace & A/C.
Use/Nature of NSFR/Wire new house. *Job #F1562L
Work
Fees: Valuation
Issued By:
$4,200.00 Plan Approval $0.00 Permit Fee Paid $105.00
Date 07/29/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
0?/28/02 09:44 FAX 920 766 0883 YAN ERT ELECTRIC ~001
City of Oshkosh
Division of Inap~ctiou Services
P.O. Box 1130
oshkosh, WI 84903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ELECTRICAL PERMIT APPLICATION
All information after bold categories must bo providcd.
Incomplete applications will not be proc~sed.
· Applicnfion(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 p~rmit(s) will result in fees being doubled or $100.00 plus
normal permit fee, which ever is greater.
OR
ff you ar¢,,a contractor ~articivatine in the Permit Fee ,4cccunt SYstem and Aave adequate funds, check f
CHECK [] ALL APPLICABLE
USE CATEGORY
~l~ingl¢ Family I-IDuplex r-IMulti-Family
SERVICE J~ew r-ITemporary
ElChangc EINot Applicable
FlRental E]Conunercial [:]Industrial
TYPE I-IOverhead QNot Applicable
E]Underground
FILL I~ THE APPROPRIATE BLAI~IK WITH THE NUIVlBER
Volts-laC) l~,,qO Ree.pt.eles# . (~0
Phase ~
Amps ,~ Ut~ SwitcUes tt ~
Circuits#
CItECK ~ ALI. APPLICABLE
~]Rangn [~Dishwasher ~Garbage Disposal J~l)tyer
E]Fan OR Blower '~umace }~IA/C F'lElectdc Sign
I-1Motors QGas Puraps DOther
.satwnos a,t, LOU . Ct k 0
I-IWater Heater
VALV~ (Including labor and nil mterials including light fixtures) $
MASTER ELECTRICLtaN