HomeMy WebLinkAbout0122509-Electric
o
OSH~OSH-
ON THE WATER
Job Address 3320 3322 ISAAC LN
Contractor ELECTRICAL CONTRACTING SPECIALI:
CITY OF OSHKOSH
No
122509
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
. New
o Change 0 Temp
Owner WILLIAM K MILLER Create Date 11/08/2006
Category 620 - Residential-New Duplex Service Plan
ON/A Type o Overhead . Underground
Circuits 44 Luminaires 60
Switches 60 Receptacles 100
Volts 120/240
Amps 200
Appliances 'Range, dishwasher, fan, furnace, garbage disposal, AlC, dryer
Use/Nature of NEW DUPLEXl1 story side by side units with attached 2 car garages. 12'x16' rear uncovered patios with frost protection.
Work
Fees: Valuation
$6,500.00
()/YYVO
Plan Approval
$0.00
Permit Fee Paid
$162.00
Issued By:
Date 11/13/2006
D Permit Voided I
Parcelld # 1416580300
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
PO BOX 42
BERLIN
WI 54923 - 0
Telephone Number 920-428-7000
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.
"
City of Oshkosh
Divisiop. of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proce~sed.
. 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
Ifvou are a contractor varticivatinll in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed throullh vou~ account D' .
._ 3E~;;;'
..,-.
JOB ADDRESS '332" HA-d-'- LAJ,
OWNER . $J~/( M/ft ~
CONTRACTOR ~ C5
DATE 1I / q /()"
( .
CHECK ~ ALL APPLICABLE
USE CATEGORY
f'OSingle Family ~uplex DMulti-Family
. SERVICE.;RJNew DTemporary
DChange DNot Applicable
ORental
o Commercial
o Industrial
TYPE DOverhead
pa'Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
Amps
1'2-0 f 2--("
I
".'i..OD
Receptacles # laD
Switches # 6 f)
Circuits # '-I'l
Fixtures # b 0
* ((5D "A-t-(~ ~ Sl~
CHECK ~ ALL APPLICABLE
. jiQ)W1ge .
'I. IOFan OR Blower
OMotors
,gIDishwasher
~Fumace
OGas Pumps
ti'lGarbage Disposal
I3A1C .
o Other
JiDryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
. /I(~ ,~
^v1t?/~
v
. -
.f? -L-<. "; k _ J-. 'rA. ( tJ f' ~ \1J ~
V - ,j)
'~r/'~I!t
\, 1-
\1}
{\r ALUE (Including labor and all materials including light nxtures) $ t,.Sb 0
MASTER ELECTRICIAN ~J
-~
/~~J1-.
3/02