HomeMy WebLinkAbout0103151 EOSHKOSH
ON THE WATER
.lob Address 1470 NORMAN WAY
Contractor J.A.W.S. ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JEREMY & ANNE MARIE BIRSCHBACH
Category 610 - Residential-New Single Family Service
Amps 200
~) Temp
Type I~ Overhead
Circuits 0
Switches 0
No 103151
Create Date 05/22/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances
Use/Nature of NSFR/ Install 200amp underground service for new home.
Work
Fees: Valuation
Issued By:
$300.00 Plan Approval
$0.00 Permit Fee Paid $20.00
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 PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
920-517-0576
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.
OSHKOSH
ON THE WATER
Job Address 1470 NORMAN WAY
Contractor J.A.W.S. ELECTRIC
Service ~) New (~ Change
Volts 120/240
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
O Temp
Owner JEREMY & ANNE MARIE BIRSCHBACH
Category 610- Residential-New Single Family Servi
] Type (~ Overhead
Circuits 0
Switches 0
No 103151
Create Date 05/22/2003
Plan
O Underground
Fixtures
Receptacles
Appliances
Use/Natare of NSFR/ install 200amp underground service for new home.
Work
Fees: Valuation
$300.00 Plan Approval
$0.00 Permit Fee Paid $20.00
[] Permit Voided I
Date 07/29/2003
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SE.nature ^ Date
Address PO B'~.~2 VAN DYNE WI 54979 - 22 Telephone Number
920-517-0576
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 pe~ormed within two business days from the time the project is ready.
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
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 Account System and have adequate funds, check here
if you want this processed through your account []
DATE
CItE. CK [] ALL APPLICABLE
USE CATEGORY
[~,Single Family FIDuplex F1Multi-Family
SERVICE ~New I-1Temporary
F1Change F1Not Applicable
F1Rental F1Commercial Fllndustrial
TYPE I-IOverhead FINot Applicable
[Jt~Jnderground
FILL IN THE AJ~PROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
Receptacles #
Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
F1Range F1Dishwasher F1Garbage Disposal
F1Fan OR Blower ElFurnace EIA/C
FIMotors IDGas Pumps F1Other
F1Dryer
I~Electric Sign
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials inc~~f~tures) $
MASTERELECTRICIAN/x J~3r ~ ~ ~
3/02