HomeMy WebLinkAbout0099712-ElectricOSHKOSH
ON THE WATER
.lob Address 3234 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 99712
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-CN.
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
\
l{
09:51 FAX 920 766 0883
VAN ERT ELECTRIC
~003/009
City ot'oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5054
ELECTRICAL PERMIT APPLICATION
All information after bold categories must b¢ provided,
Incomplete applicalions will not bc processed.
O/H OYH
· 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 fc~, which ever is greater.
OR- '
are a contractor partici~ati_n£ i~ the Perr~t ~_ee Acc. ount System and hav¢.a(lequate funds, check h.
If.if gouYO]~ wan~this procesre-d through Four account/~
co r cro
CHECK [~ ALL APPLICABLE
ngCATEGORY
le Family I-IDupl~x E]Multi-Family
SERVICE~ew QTemporasy
ElChange EINot Applicable
[-IRental UICommercial IZlIndustrial
TYPE [3Overhead ElNot Applicable
ndcrground
FILL IN THE APPROPRIATE BLANK WITH THI~ NUMBER
Circuits#
CHRCK [B ALL APPLICABLE
Range ~. ishwashcr ,~'"~arbage Disposal
an OR. Blower /g4~umace I-1AJC
IZIMotors EIGas Pumps ~Other
.scxnmo ALL ....... f, O iV '
EIEteciric Sign
ElWater Heater
VALUE (Including labor an~ all materials including light fixtures) $ ~Z~s ff~). ''''~
MASTER ELECTRICIAN