HomeMy WebLinkAbout0103864-ElectricOSHKOSH
ON THE WATER
.lob Address 3213 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 103864
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-Z.
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/~27/02 12:29 FAX 920 766 0883 VAN ERT ELECTRIC ~004
City of Oshkosh
Division of Ir~pcCfiOu Services
P.O. Box 1130
O~hkos~, WI 54903-[ 130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All infonmfion after bold categories must be providcd.
· Incomplete applications will not be p~oce~sed.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1118,
Oshkosh WI 54903-I 128. Commencing work without pem'd~(s) will result in fees being doubled or $100.00 plus
noml l~rmit fa, which ever is greater.
OR '
If you ar~ o contractor participating in the Perm~/~e dccount
if v~u want this ~ro~essed throy~h ~oor account~
co oa
System and ha~e adequ,ate funds, check I
CHECK I~1 ALL APPLICABLE
USE CATEGORY
FISingle Family DDuplex r'lMulti-Family
SERVICE 'l~N~w ElTemporary
OChange []~lot Applicable
CIRental I-ICommorcial CIIndustrial
TYPE. ~.Overhead UINot Applicable
'~i~.Under~rotmd
Circuits
Fixv.res
CR~CK I~ ALL APPLICABLE
ElRange ElDishwash~ EIGarbage Disposal
EIFan OR Blower rlFumace EIMC
I-'lMotors DGas Pumps I-IOth~r
O SC O.O ALLWO I ¢DO L0; ,
r'lDryer
l"lEleclric Sign
r'lwater Hcater
VALUE (Including labor an~ all materials including light fixtures} $
MASTER ELECTRIOAN