HomeMy WebLinkAbout0103175-ElectricOSHKOSH
ON THE WATER
.lob Address 3233 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 103175
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 #F1562R
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.
07/28/02 09:44 FAX 920 766 0883 VAN ERT ELECTRIC
City of Oshkosh
D/vision of Inspection Servi~s
P.O. Box 1 ! 30
oshk0~h, WI 549034 130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ELECTRICAL PERMIT APPLICATION
Ail information alter bold categories must be provid~i.
~complete applications vdU. not be processed.
· Applicalioa(s) and fee(s) ca~ be brought m City Ir, all, Room 205 or mailed to Inspection Services, PO Box ] 128,
Oshkosh WI 54903 -I 128. Conunencing work without permit(s) will result in fees being doubled or $ ! 00.00 plus
normal permit fee, which cwr is greater.
OR
ff vou are a contractor participating in the Permit Fee dcqount System and have adequate funds, check i
~if you want t]tis processed through your account .~
CItECK [Z A~.L APPLICABLE
E CATEGORY
ingle Family CIDuplex CIMulti-Family
sERvIcEabLe CITemporary
I-IIqot Applicable
I-lRental C'lCommereial []Industrial
TYPE ElOverhead VINot Applicable
rqUnderground
Circuits#
CIt]gCK [] ALL APPLICABLE
VIFan OR Blower ,~eumaee
I-lMotors CIGas Pumps [3Other
gsc umoso woR sgrsc o
ClEleetxic Sign
[Water Heater
u
VALUE (Including labor and all materials including light fixtures) $ ,
MASTER ELECTRICIAN
I os.