HomeMy WebLinkAbout0123643-Electric
~"O'
OSHKOSH
ON THE WATER
Job Address 1 0.55 JOHN MOORE DR
Contractor ELECTRICAL CONTRACTING SPECIAU:
CITY OF OSHKOSH
No
123643
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner RUSCH HOMES LLC Create Date 0.2/12/20.0.7
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
120./240.
Volts
Amps
20.0.
Appliances
Range, dish washer, garb. disp., dryer, fan, furn, AlC
Use/Nature of, SFR/ New single family quad level" with 3 car attached garage and1Q'x 15' deck and driveway),;,(!'"
Work ')lry ,.
Fees: . Valuation $4,20.0..0.0.
Issued By: " ~~'\
Plan Approval
$0..0.0.
Permit Fee Paid
$10.0..0.0.
Date 0.2/28/20.0.7
o Permit Voided I
Parcelld # 134295190.0.
,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 ~ ~_
Agent/Owner
Date
2-/ 2- ~;A '7
( (
Address
PO BOX 42
BERLIN
WI 54923 - 0.
Telephone Number 920.-428-70.0.0.
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 ifthe 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 witboutpennit(s) will result in fees being doubled or $100.00 plus the
nonna1 permit fee, which ever is greater.
OR.
Ifvou are a contractor lJarticipatinf! in the Permit Fee Account Svstem and have adequate funds. check here
ifvou want this processed throuf!h vou~ account 0 .
DATE 2('2s/07
JOB ADDRESS ( b I3- .:f1 ~:-... tl.u>v-r~..1..r .
OWNER . /l.; t t..- h. fk,"......r~/~~
. CONTRACTOR C c...5
CHECK la ALL APPUCABLE
USE CATEGORY
J8Single Family
"SERVICE. ~ew
DChange
DDuplex
DMulti-Family
DRentaI
DCommerciaI
DIndustrial
OTempora:ry
DNot Applicable
TYPE DOverhead
~nderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Valts {?.o I "'7.-'(1.> Receptacles # ~
:phase ( /
A-mps '2...0'0 Switches # 2.. .)
/""
Circuits # 2.).
Fixtttres # tf lJ
CHECK la ALL APPLICABLE
~Range .
OFan OR Blower
DMotors
,efDishwasher
~Fumace
DGas Pumps
92f-Garbage Disposal
~NC .
DOther
~Dryer tJWater Heater
OElectric Sign .
DESCRIPTION OF ALL WORK BEING DONE %f rl<..
.. VAL TIE (Including labor and all materials including light f"lXtures) $ r p D
MAsTERE~CTRICIAN~~~.
3/02