HomeMy WebLinkAbout0103683-ElectricOSHKOSH
ON THE WATER
.lob Address 3490 EICHSTADT RD
Contractor SCHAFER ELECTRIC INC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 103683
Create Date 08/11/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Fan or Blower, Furnace, A/C
Use/Nature of NSFR/ New 1 story with 2 car attached garage and 12' x 12' patio. Driveway shall not exceed 22' wide.
Work
Fees: Valuation
Issued By:
$4,800.00 Plan Approval $0.00 Permit Fee Paid $105.00
Date 08/25/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
920-725-2031
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.
Citfof Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ELECTRICAL PERMIT APPLICATION
Ail information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) wili 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 vour account []
DATE ~".,,Z ~5'- 0 3
CHECK [] ALL APPLICABLE
USjE~ CATEGORY
/[21Single Family [2]Duplex mMulti-Family
SERVICE J~eew FITemporary
r'lChange IZlNot Applicable
[2]Rental I-1Commercial Fllndustrial
TYPE F1Overhead EINot Applicable
,,12'Underground
FILL IN THE APPROPRIATE BLANK WITH TIlE NUMBER
Volts /,~ 0 / ~ ~,'t~ Receptacles # Circuits #
Phase /
Amps- ~ o o Switches # Fixtures #
CHECK [] ALL APPLICABLE
Fnge
OR Blower
l-IMotors
[3'Dishwasher
[3Gas Pumps
.~arbage Disposal
12 c
FlOther
I'-IElectric Sign
DESCRIPTION OF ALL woRK BEING DONE
nWater Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN
3/02