HomeMy WebLinkAbout0098953-ElectricOSHKOSH
ON THE WATER
,Job ,Address 2749 HAMILTON ST
Contractor VAN ERT ELECTRIC
Service ~) New 0 Change
Volts 120/240
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES & DEVELOP
Category 611 - Residential-New Single Family Wirin
O Temp I Type (~ Overhead
Circuits 20
Switches 25
No 98953
Create Date 12/05/2002
Plan
(~ Underground
Fixtures
Receptacles
17
65
Appliances ~ange, Dishwasher, Garbage Disposal, Dryer, Fan or Blower, Furnace, NC & Motors.
Use/Nature of NSFPJ Install electrical for new home. *Job #F1512-BD.
Work
Fees: Valuation $4,000.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $90.00
Date 12/05/2002
[] Permit Voided J
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
RECEIVED
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130 DEC 0 4 2002
Phone (920) 236-5050
Fax (920)236-5084 DEPARTMENT OFO/HKO/H
COMMUNITY DEVELOPMENT o,,,
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) will result in fees being doubled or $100.00 plus
normal permit fee, which ever is greater.
' OR
If you are a contractor participating in the Per~t ff4e Account System and have adequate funds, check h
~f ¥ou want this processed through your accountN~/ ~r~O~
~ ~ ~0~{~ ~ DATE IZi~ ~)~'-
V,m
CHECK [] ALL APPLICABLE
~E CATEGORY
~3,Single Family FIDuplex F1Multi-Family
SERVICE~Iew FITemporary
' ' FlChange FINot Applicable
FILL IN THE APPROPRIATE BLANK WITH TI~ NUMBER
Volts ' [~-) / ~ Receptacles # .
Phase
Amps ~/'~h Switches #
DRental
TYPE
VICommercial [3Industrial
EIOverhead FINot Applicable
~<~Underground
Circuits
Fixtures
CHECK RI ALL APPLICABLE
ge ~ishwasher ~l~bage Disposal
~anOR Blower ~urnace
/~Mot°rs []Gas pumps [] Other _
?;kc4 -r el
~er FlWater Heater
EIElectric Sign
VALUE (Including labor an~l all materials including light fixtures) $