HomeMy WebLinkAbout0123642-Electric
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OSHKOSH
ON THE WATER
Job Address 3170 BAILEY GT
Contractor ELECTRICAL CONTRACTING SPECIALI:
CITY OF OSHKOSH
No
123642
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 02/12/2007
Category 611 - Residential-New Single Family Wirin Plan
ON/A Type o Overhead . Underground
Circuits 25 Luminaires 40
Switches 25 Receptacles 50
Service
Ie New 0 Change 0 Temp
120/240
Volts
Amps 200
Appliances Range, dish washer, garb. disp., dryer, fan, turn, AlC
Use/Nature.of NSFRI New single family' 2 story with 2 car attached garage and 14' x 14' patio.
Work
U~:,c:-::\::'-';'
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Fees: 'Valuation $4,200.00
Issued By: . .-17 k
Plan Approval
$0.00
Permit Fee Paid $100.00
Date 02/28/2007
o Permit Voided I
Parcelld # 1342950400
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. .:l J
Signature c-2..-.~~ Date 2/zt 6"""
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
Division 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 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 doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
Ifvou are a contractor particiDating in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this processed through vou;.. account D' "
DATE
2-/ 7-e,~,
r I
JOB ADDRESS '3/70 1>t<..\I~ ~ r-
OWNER. tv;e-L /i:t~
. CONTRACTOR g'C5"
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CHECK a ALL APPUCABLE
USE CATEGORY
1QSingle Family
. SERVICE. ,.&New
DChange
DDuplex
DMulti-Family
DRental
o Commercial
OIndustrial
DTemporary
DNot Applicable
TYPE OOverhead
~Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
).>hase
Amps
I~o I e..';o
I
? .A]I)
Receptacles # ,50
n(./
Switches # t- /
,.-
Circuits # Zs .
FJXtU.res # r; ()
CHECK I2J ALL APPLICABLE
J81Range
OFan OR Blower
DMotors
~Dishwasher
rm<umace
DGas Pumps
~Garbage Disposal
~A1C .
DOther
;K!Dryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE )(( .sF tl-
" " VALUE (Including labor and all materials including light IlXtures) $ r; tDD
MASTERELECTRICIAN ~
3/02