HomeMy WebLinkAbout0103866-ElectricOSHKOSH
ON THE WATER
.lob Address 3205 BELLFIELD DR
Contractor VAN ERT ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 20
Switches 30
No 103866
Create Date 07/23/2003
Plan
~ Underground
Fixtures
Receptacles
17
40
Appliances Range, Fan or Blower, Dishwasher, Furnace, A/C, Garbage Disposal, Dryer & Water Heater.
Use/Nature of NSFR/Wire new house. *Job #F1562-X
Work
Fees: Valuation
Issued By:
$4,200.00 Plan Approval $0.00 Permit Fee Paid $105.00
Date 09/02/2003
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 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.
08_727/02 12:29 FiX 920 766 0885 VAN ERT ELECTRIC [~002
City of oshkosh
Division of Inspectlon Se.r~iees
p.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 256-5050
F~x (920) 236-5054
Q/FKO/H
ELECTRICAL PERMIT APPLICATION
Ali information aRcr bold categories mu~t be provided.
Incolr~lete applications w/Il no/bc proccsscd.
· Application(s) and f~e(s) can bc brought to City Hall, Room 205 or mailed to hsp~c6on S~-viccs, PO Box 1128,
Osl0coshWI 54903-1128. Commencing work withoutpermit(s) willresult tn fees being doubled or $100.00plu.~
normal permit fee, which ever is greater.
OR
[f vo~ are a contractor varticivatln~ in the Perm~. .ee ,~ccount_ System and have
funds,
if ~ou want this processed through your account ~
CHECK E~ ALL APPLICABLE
~ CATEGORY
I~ingl¢ Family [3Duplex ~Multi-Family ElRental
SERVICE ~bTcw CIT~mpomry TYPE
ClChange f"lNot Applicable
[2Commercial r'l/adustrial
l.uOverhead ClNot Applicable
nderground
FILL IN -~'x~u~ APPROPRIATE BLANK Wrt'H THE NUMBER
CHECK ~ ALL APPLICABLE
ClRange 13Dishwashcr ClGarbag~ Disposal CIDryer ClWater Heater
CIFan OR. Blower DFumace E]A/C I-IEleclxi¢ Sign
E]Motora DGas Pumps ~Other
ELECTRICIAN