HomeMy WebLinkAbout0099714-ElectricOSHKOSH
ON THE WATER
.lob Address 3226 BELLFIELD DR
Contractor VAN ERT ELECTRIC
Service [~ New (~ Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 18
Switches 30
No 99714
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-CP.
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
09:52 FAX 920 766 0883 VAN ERT ELECTRIC ~005/009
02/06/02
City o£Oshkosh.
· Division of [m'pe~ion Services
P.O. Box 1130
Oshkosh, WI 54903-t 130
Phone (920) 236-5050
Fax (920) 236-5094
ELECTRICAL PERMIT APPLICATION
Ail information after bold categories must bc provided.
Incomplete applications will not bt processed.
· Application(s) and fcc(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 pin
normal permit fcc, which ever is greater.
If you are a contractor participating in the Perm,it ~e ~lccount SYstem and have adequate funds, check
[f'¥ou want thi~ processed through ~our account ~
CHECK [~ ALL APPLICABLE
inCATEGORY
glo Family I"lDuplex F'lMuki-Family
SERVICE.~Iew CITcmporary
ElChangc [3Not Applicable
U1Rcntal I-1CommerciaI ElIndustrial
TYPE ElOverhead EINot Applicable
nderground
FILL IN 'rile APPROPRIATE BLANK V~/ITH THE NUMBER
Volts - I')~O, !'2z~E) Receptacles #.,. ~90 Circuits #
Amps ~)L~' Switches # '~ Fixtures #
CHIiCK ~ ALL APPLICABLE
Rang¢ ~ishwasher ..~l~arbage Disposal
an OR Blower ,,~acc F1A/C
V1Motors VIGas, Pumps [3Other
,EsctuenON or WOm azmg
CIEie~tric Sign
VtWater Heater
VALUE (Including labor an~ all materials including light fixtures) $ '~4! ~ ,"~'
MASTER ELECTRICIAN
1/