HomeMy WebLinkAbout0099706-ElectricOSHKOSH
ON THE WATER
.lob Address 3242 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 100
~ Temp
Type I~ Overhead
Circuits 18
Switches 30
No 99706
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-CL.
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
I{
09:51 FAX 920 766 0883 VAN ERT ELECTRIC ~]001/009
02/06/02
City of Ostdmsh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 5490]- I 130
Phone (920) 236-5050
Fax (920) 236-5084
QJ1-KO/H
ELECTRICAL PERMIT APPLICATION
All/nformation after bold categofics must b~ provided.
Incomplete applications will not be processed..
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Lnspcct/on Services, PO Box 1128,
Oshkosh WI $4903-1128. Commencflag work without pennh(s) will result in fees being doubled or $100.00 plus'
normal perm/t fee, which ever/s greater.
OR
If you are a contractor participating in the Pcrntit ~ee Account System and have adequate funds, check h,
i~-vou., want this processed...thr, ough your account ~ '
CHECK [] ALL APPLICABLE
m CATEGORY
glo Family nDuplex FIMulti-Family
SE VICE~g~¢w [2Temporary
I"lChange FINot Applicable
I-IRental EICommercial [3Industrial
TYPE_[3/Overhead ElNot Applicable
~Jnderground
FILL IN THE APPROPRIATE BLANK WITH Tlgl~. NUMBER
Volts - t~y.-O I ~ Receptacles
l)hse
,~dnps ~ ~ Switches #
Circuits #
Fixtures #
cm~:CK ~ ALL APPLICABLE
__~g¢ ~ishwasher
OR Blower ~..~eumace ·
VlMotors VIGas Pumps
.~a~bage Disposal
mOther
DESCRIPTION OF ALL WORK BEING DONE
~y~F
ElElectric Sign
~Water Heater
VALUE (Including l,,bor an~l all materials including light fixtures) $ ~,~ (-~-'"--'~'-
MASTER ELECTRICIAN
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