HomeMy WebLinkAbout0099709-ElectricOSHKOSH
ON THE WATER
.lob Address 3238 BELLFIELD DR
Contractor VAN ERT ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES & DEVELOP I
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 18
Switches 30
No 99709
Create Date 02/03/2003
Plan
~ Underground
Fixtures
Receptacles
17
60
Appliances Range, Dishwasher, Garbage Disposal, Dryer, Fan or Blower & Furnace.
Use/Nature of NSFR/Wire new home. *Job #F1512-CM.
Work
Fees: Valuation
Issued By:
$4,500.00 Plan Approval $0.00 Permit Fee Paid
$105.00
Date 02/06/2003
Permit Voided
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
02/06/02
09:51 FAX 920 766 0883
VAN ERT ELECTRIC
~002/00g
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903- 1130
Phon~ (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information afle~ bold catcfforics mast 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 I t28,
Oshkosh'WI 54903-I 128. Commencing work without permit(s) will result in fees. being doubled or $I00.00 plus'
normal permit fee, which ever is greater.
OR
?fvouare a contractor participatine in the. Perr~it.~ee Account System and have adequate I'unds, check h,
You_want this process-ed through ~our apcount~ DATE
com cro
CHECK I~ ALL APPLICABLE
nCA~RY
gle Family ElDuplex E/Multi-Family
SERVICE ~cw 13T~nporary
EIChange VlNot Applicable
I-IRental
TYPE
r'ICommcrciaI DIndustrial
I"]Overhead I-INot Applicable
~nderground
FILL IN-Ti~ APPROPRIATE BLANK WITH THE NWMBER
vomt~ - 120, ,,/7~ u~ept.c~ # . Coo
Phase , ,,' ~e-~l-f
Amps~_ _ Switch~ ~ ~O
Circuits
Fixtures
Cl~CK I~ ALL APPLICABLE
.~ang(~R Blowa' j~ishwasher
i~Motors . ~u~;C~nps
~arbage Disposal
OA/C
OOther
DESC~ON OF ALL WORK BEING DONE
ElWater Heater
VALU~ (Including labor and all materials including light fixtures) $ ,
'MASTER ELECTRICIAN