HomeMy WebLinkAbout0099708-ElectricOSHKOSH
ON THE WATER
.lob Address 3218 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 99708
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-CR.
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 El;FY ELECTRIC [~]007/009
O2/06/02
City of Oshkosh
'Division oflnspectio~ Services
P.O. Box I 130
O~hkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All reformation 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 doubted or $I00.00 plt~
normal permit fee. which ever is greater.
OR
If_You are a contractor participating in the Perr~'t ~gee Account System and hove adequate funds, check
ifvou wont this processed throuEh your ac¢°u~ ~
CHECK [] ALL APPLICABLE
~S~.E CATEGORY
~,El~ngl¢ Family E]Duplcx ElMulti-Family
SERVICE.~ew CITcmporary
OChangc ElNot Applicable
I-lRental U1Commercial HIndustfial
TYPE EIOverh~ad ElNot Applicable
~J~ndergrotmd
FILL IN TH~ AIWROPRIATE BLANK WITH TH~ NUMBER
Volts - J'~) /'~Z~ Receptacles #_, bO
Amps ?_00 "'" Switches # ~
Circuits#
Fixtures #
CHECK ~ ALL APPLICABLE
~an OR Blower ~[~ishwasher ..~l~bage Disposal
,~l~umace [~A/C
EIMotors ClGas Pumps [3Other
DESCRIPTION OF ALL WORK BEING DONE
EIElectric Sign
I"lWater Heater
VALUE (Including l.abor an~[ all materials including light fixtures)
MASTER ELECTRICIAN