HomeMy WebLinkAbout0103690 EOSHKOSH
ON THE WATER
.lob Address 1470 NORMAN CT
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 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 20
Switches 35
No 103690
Create Date 07/29/2003
Plan
~ Underground
Fixtures
Receptacles
28
5O
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Fan or Blower, Furnace, A/C
Use/Nature of NSFR/Wiring of new home.
Work
Fees: Valuation
Issued By:
$4,500.00 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 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.
~ City of Oshkosh
. 'Di'visicm of Inspection Services
P.O. Box 1 t30
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 Svstem and have adequate funds, check here
if vou want this processed through your account []
r Jz /o3
CItECK [] ALL APPLICABLE
USE CATEGORY
FlSingle Family F1Duplex F'lMulti-Family
SERVICE FINew F1Temporary
ElChange E]Not Applicable
F1Rental ElCommercial Fllndustrial
TYPE FIOverhead F1Not Applicable
F1Underground
FILL IN TIlE APPROPRIATE BLANK WITH TIlE NUMBER
Volts / ~ / Z~O Receptacles # ,~(~)
Phase ! ~
Amps 2. C~ Switches # ~'
Circuits #
Fixtures #~__
CIIECK [] ALL APPLICABLE
~Range ~Dishwasher
t~'Fan OR Blower I$1Fumace
ElMotors F1Gas Pumps
~Garbage Disposal R~ ~Dryer
li~A/C F1Electric Sign
F1Other
FlWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ '~ ~00~'
3/02