HomeMy WebLinkAbout0103011-ElectricOSHKOSH
ON THE WATER
JobAddress 4 HURONAVE
Contractor VAN ERT ELECTRIC
Service ~) New C) Change
Volts 120/240
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
(~Temp
Owner
Category
HABITAT FOR HUMANITY
611 - Residential-New Single Family Wirin
Type ~ Overhead
Circuits 12
Switches 25
No103011
Create Date 06/20/2003
Plan
O Underground
Fixtures
Receptacles
13
45
Appliances {ange, Fan or Blower, Furnace & Dryer.
Use/Nature of NSFPJ Wiring and service for new home. *Job #F1563-BB.
Work
Fees: Valuation
Issued By:
$3,200.00 Plan Approval
$0.00 Permit Fee Paid
$90.00
Date 07/23/2003
[] Permit Voided
In the performance of this work I agree to perform all work pumuant to rules governing the described construction.
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.
07/2~/02
07:00 FAX 920 766 0853
VAN ERT ELECTRIC
~ 0Ol
City of Oshkosh
Division o f laspcclion Servkcs
P.O. Box l !30
Oshkosh, W! 5490~-1130
Phone (920) 236-5050
Fax (920) 236-$084
ELECTRICAL PERMIT APPLICATION
All i~orm~tion after bold card,odes mus~ ~ provided. ~~
Incompletc applicafio~ ~11 ~t be p~ces~d.
* Appli~fi~(s) ~ ~(S) ~ be brought to Ci~ Hall, Room 205 or ~ilcd to ~fion S~ces, PO Box l
O~osh ~ 54903-1128. Co~encing wo~ wi~ut ~s) ~11 ~sult in f~s ~ing doublcd or $100.00 plus
noel ~t fec, wMch ~ is ~t~.
OR
I~ou are a cqnrractor, participqtin~ in the Permit Fee Jccount, Systg~ and have ad~quatq fundx, check
ff vou want this ~roce~d through your accoun( ~
CKgCK [~ ALL APPLICABLE
USE CATEGORY
/~inglc Family FIDuplex FIMulti-Family
SERV~CE~Ncw r~Tempora~
' F'lChange ElNot Applicable
ORcntal FICommcrcial C]Indus~al
TYPE CIOverhcad ~lNot Applicable
~]Uudcrground
Circuits
CHECK ~] ALL APPLICABLE
'VALU~ (lneludinv labor all~ .Il materials iO,'lud[ng light
'MASTER ELECTRICIAN