HomeMy WebLinkAbout0103862-ElectricOSHKOSH
ON THE WATER
.lob Address 3201 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 103862
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-W.
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 12:28 F~ 920 768 0883 v~ ERT E~C~I¢ ~001
Ci~ of oshkosh
Di¥isiou of~Petlon Scrvlce~
P.O. Box l 130
Oshkosh. WI 54903-1130
Phone (920) 236-S050
Fax (920) 236-$084
ELECTRICAL PERMIT APPLICATION
All information after bold categories mus~ be pmvid=d.
lacomplctc applications will not b= precesscd.
Of HKO/H
(f you want this orocessed through your account
g'r+
Application(s) and fee(s) can be brought to City Hall. Room 205 or mail,el to laq~¢tion Services, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in ~ees being doubled or $100.00 plus
normal permit fee, which evar is greater.
OR
~c~ount System and have adetluote funds, check i
cUe;CK I~ ALL APPLICABI.~
E CATEGORY
ingle Family rlDuplex I-IMulti-Family CIRental
CE/~7n ~2pve~h~ad
SERVI ClTemporary TYPE ~nderground
ge I-INot Applicable
vous.. I ZO ~2AO
PhLse ~ ~.~
Amps ~ 0
FrI.L ]~ TliE APPROPRIATE BLANK WITH THE NUMBER
Reeeptacles# .Z~
Switches # '~
C]Dishwasher rlGarbag~ Disposal
EIFamac~ rlA/C
[-1Guts Pumps C]Other .
Or ~'- WO~ ~L~
~lCommercial C}Industfial
VINot Applicable
Circuits #
Fixtures # { '1
UDryer
DElec~ic Sign