HomeMy WebLinkAbout0098952-ElectricOSHKOSH
ON THE WATER
Job Address 2759 HAMILTON ST
Contractor VAN ERT ELECTRIC
Service ~) New (~ 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
~) Temp I Type (~ Overhead
Circuits 20
Switches 25
No 98952
Create Date 10/14/2002
Plan
O Underground
Fixtures
Receptacles
65
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Fan or Blower, Fumace, A/C & Motors.
Use/Nature of ~ISFR/Install electrical for new home. *Job #F1512-BE.
Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $90.00
Issued By:
[] Permit Voided
Date 12/05/2002
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
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 2364050
Fax (920) 236-5084
RECEIVED
DEC 0
ELECTRICAL PERM I~,~.~[~[Q~T
All information after bOl,~[l~s~[~l~l.
Incomplete applications will not be processed.
OJ'HKO/H
ON THE WATER
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 Permit Ff.e Account System and have adequate funds, check h,
~ ~ R~SS
CI4'ECK [] ALL APPLICABLE
USE CATEGORY
gle Family
SERVICE ew
ge
I-IDuplex FIMulti-Family
ElTemporary
121Not Applicable
DRental I-ICommereial EiIndustrial
TYPE .~_f)verhead I-INot Applicable
~[i~Underground
Volts ' ~.) /~'~ Receptacles
Amps ~ Switches #
Circuits
Fixtures
CHECK [] ALL APPLICABLE
,aF_~_annge ~shwasher ~rbage Disposal
OR Blower ...~ urnace /I-IO~er
~/[otors VIGas Pumps
~s¢~r~o~ o~ ~ wo~~ ~o~ ~~
/~Dryer I-IWater Heater
FIElectric Sign
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN