HomeMy WebLinkAbout0103131-ElectricOSHKOSH
ON THE WATER
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No 103131
Job Address 3975 SANDHILL CT Owner NORTHSHORE REAL ESTATE DEVELOPIV Create Date 07/28/2003
Contractor SCHAFER ELECTRIC INC Category 611 - Residential-New Single Family Wirin
Service E~) New 0 Change (~ Temp I Type ~_ Overhead
Volts Circuits 0
Amps 0 Switches 0
Plan
(~ Underground
Fixtures
Receptacles
Appliances ;range, Dishwasher, Garbage Disposal, Dryer, Fan or Blower, Furnace & NC.
Use/Nature of NSFR/Wiring of new home. *(U.G. service was done by Seckar Electdc).
Work
Fees: Valuation $4,800.00 Plan Approval $0.00
Issued By:
Permit Fee Paid
$105.00
Date 07/28/2003
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
AgentJOwner
Address 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number 920-725-2031
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
Division of Inspection Services
P.O. Box 1130
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) wili 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 System and have adequate funds, check here
i£vou want this processed through your account []
DATE 7- 01 ~f~' O 3
JOB ADDRESS '
CHECK [] ALL APPLICABLE
USE CATEGORY
J~ngle Family E]Duplex
ElMulti-Family
SERVICE nNew
nChange
E]Temporary
[2t'lqot Applicable
nRental nCommercial E]Industrial
TYPE ElOverhead ,[~q'ot Applicable
E]Underground
FILL IN THE APPROPRIATE BLANK 'WITH THE NUMBER
Volts / Receptacles #
Phase
Amps ~ Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
aannge ~,.~jshwasher
OR Blower .,~i- umace
nMotors ElGas Pumps
DESCRIPTION OF ALL woRK BEING DONE
l~cbage Disposal
nOther
nElectric sign
ElWaterHeater
VALUE (Including labor and all materials including light fixtures) $
MASTER",EC CI
3/02