HomeMy WebLinkAbout0098903-ElectricOSHKOSH
ON THE WATER
Job Address 2731 HAMILTON ST Owner
Contractor VAN ERT ELECTRIC Category
Service D New (~ Change (~ Temp I
Volts 120/240 Circuits
Amps 200 Switches
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
No 98903
CREATIVE CUSTOM HOMES
611 - Residential-New Single Family Wirin
Type (~)Overhead
20
25
Create Date 12/04/2002
Plan
(~) Underground
Fixtures
Receptacles
65
Appliances :{ange, Dishwasher, Garbage Disposal, Dryer, Fan or Blower, Furnace, NC & Motors.
Use/Nature of NSFR/Install electrical for new home. *Job Cf F1512-BB.
Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $90.00
Issued By:
Date 12/04/2002
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
KAUKUANA WI 54130 - 0 Telephone Number
Address 2000 PROGRESS WAY 920,766-3888
12/02/02 15:12 FAX 920, ~ 088L_ VAN ERT ELECTRIC [~1003
City o£ Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 2t6-5054
07HKO/H
ELECTRICAL PERMIT APPLICATION
All information after bold categories must bc provided,
tucomplctc applications will no~ be preeesscd.
Application(s) and fee(s) ~an be brought to City Hall, Room 205 or mailed to Inspection $crviccs, PO Box 1128,
Oshkosh WI 54903ol 125{ Corranencing walk without permit(s) will result in fees bcing doubled or $100.00 plus
normal permit fee, which ?er is wearer.
OR
lf vo_u_ar_e a contrac, tor ~a~ti~ipatin~ in the P~rmit F_t~¢ Account Swtern and have adequate funds, check h
if you want this processed ~hrough your accou, n,t
CI~.CK ~ ALL APPLICABLE
SE CA~RY
ingle Family ODupl~x OMulti-Family
S~RVICg~l~'ew ElT~npmary
ElCbange Elliot Applicable
ElRental r'lCommercial UlI. ndustrial
TYPE F1Overhead ONot Applicable
.~nd~rground
F~.I. IN ~ APPROPRIATE BLANK WITH Tl~E, .NUM~ ER
Phase
Amps
Receptacles
switches#_
Circuits #
F'L~ures #
Cm~.CK IR ALL APPLICA~, LR
~,~Cra~ba ge Disposal
EIOthcr
ElEleetric Sign
DESCR.IFFION OF ALL W~RK BEING DONE
ElWatcr Heater
VALUE (Including labor ~n~l ~ m~terials including tight Fixtures) $ ~- '""
MASTER ELECTRICIAN ' ~'~l~/~.
I