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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113553
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address
Service
10 New
120/240
0 Change
0 Temp
Owner PATRIARCHS SUBDIVISION LLC Create Date 04/04/2005
Category 611 - Residential-New Single Family Wiring Plan
10 Overhead
. N/A Type 0 Underground
Circuits 25 Fixtures 20
Switches 30 Receptacles 40
3246 ISAAC LN
Contractor
VAN ERT ELECTRIC CO INC
Volts
Amps
200
Appliances
Range, fan, motor, dishwasher, furnace, disposal, A/C, Dryer, Water Heater.
Use/Nature of NSFR/ Wiring for New single family w/ attached garage. VE Job # F1680-S
Work
Fees: Valuation
$6,000.00
Plan Approval
$0.00
Permit Fee Paid
$130.00
Issued By:
Date 04/19/2005
U Permit Voided I
Parcelld # 1416584500
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
2000 PROGRESS WAY
KAUKUANA
WI 54130-0
Telephone Number
920-766-3888 ex! 134
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~ob Address 3246 ISAAC LN
Electric Permit Work Card
Permit Number 113553
Create Date 04/04/2005
Owner PATRIARCHS SUBDIVISION LLC
Contractor VAN ERT ELECTRIC CO INC
Category 611 - Residential-New Single Family Wiring
SelVice p New 0 ChangeO Temp . N/A I Type 0 Overhead 0 Underground . N/A
Volts 120/240 Circuits 25 Fixtures 20
Amps 200 Switches 30 Receptacles 40
$130.00
D
Value
$6,000.00
Fee
Appliances
Ra~ge. fan, motor, dishwasher, furnace, disposal, AIC, Dryer, Water Heater.
Use/Nature
of Work
NSFRI Wiring for New single family w/ attached garage. VE Job # F1680-S
Inspections:
Date 04/18/2005
Type Service
Inspector Jon Fischer
approved
Request Line - permit application in-house
4/18/05 cailed in
4/25/05 mailed in
DatelTime requested: 04/18/2005 08:55 AM
Access:
Notice Type:
Phone Number: 427-8222
Ready DatelTime: 04/18/200508:55 AM Requested by:
--
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
VAN ERT ELECTRiC CO INC-Jesse
-----------------------------------------------------------------------------------.
Date 05/17/2005
Type Rough in
tnspector Kevin Benner
approved
Request Line (rec'd 5/16/05 4:44 p.m.)
DatelTime requested: 05/17/2005 07:00 AM
Access:
Notice Type:
Phone Number: 427-8222
Ready DatelTime: 05/17/200507:00 AM Requested by:
--
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
VAN ERT ELECTRIC CO lNG-Jesse
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Job Address 3246 iSAAC LN
,
Electric Permit Work Card
Permit Number 113553 Create Date 04/04/2005
Owner PATRiARCHS SUBDIViSION LLC
Contractor VAN ERT ELECTRIC CO INC
Category 611 - Residential-New Single Famiiy Wiring
SelVice p New 0 ChangeO Temp . N/A I Type 0 Overhead 0 Underground. NIA
Volts 120/240 Circuits 25 Fixtures 20
Amps 200 Switches 30 Receptacles 40
Fee $130.00 D Value $6,000.00
Appliances
Range, fan, motor, dishwasher, furnace, disposai, AIC, Dryer, Water Heater.
Use/Nature
of Work
NSFRI Wiring for New single family wi attached garage. VE Job # F1680-S
Inspections:
Date 07/07/2005
Type Final
Inspector Kevin Benner
not approved
FORWARDED FROM EXT 5048 717/05 @ 12:28 PM
DatelTime requested: 07/07/2005 07:40 AM
Access:
IF LOCKED, KEY IS NAILED TO THE JAMB OF THE FRONT DOOR
Ready DatelTime: 07/07/200507:40 AM Requested by:
--
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Notice Type: !:Q.. Phone Number: COREY 427-8133
VAN ERT ELECTRIC CO INC
- - - - - - -- -- - - - - - - - - - - - - - - - - -- - - - - - - - - - - --- ---- -- -- - - - - - - -- - - - - - - - - - - ---- - - - - - - - - - - - -.
Date 09/16/2005 Type Re Final
roc'~ ""
DatelTime requested: 08/31/2005
Access:
MASTER KEY
Inspector Nicole Krahn
approved
10:26 AM
Notice Type:
Phone Number: CORY 427-8133
Ready DatelTime: 08/31/2005 10:26 AM Requested by:
--
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
VAN ERT ELECTRIC CO INC
- - - - - --- - - - - - - - - - --- - -- - - - - - - - - - - - - - - - ---- -- - - - -- - - - - - - --- - - - - - - - - - - --- - - - - - - - - - --_.