HomeMy WebLinkAbout0123998-Electric
o
OSHKOSH
ON THE WATER
Job Address 3120 BAILEY CT
Contractor ELECTRICAL CONTRACTING SPECIALI
CITY OF OSHKOSH
No
123998
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
Ie New 0 Change 0 Temp
120/240
Owner RUSCH HOMES LLC C eate Date 03/22/2007
Category 611 - Residential-New Single Family Wirin P n
ON/A Type Overhead Underground
Circuits 25 Luminaires 30
Switches 25 Receptacles 50
Volts
Amps 200
Appliances
Use/Nature of NSFRI New single family* 1 story with 3 car attached garage and 14' x 14':patio.
Work
Fees: Valuation
$4,500.00
Plan Approval
$0.00
Permit Fee Paid
$128. 0
Issued By:
47/~~
Date 03/30/2007
o Permit Voided I
arcelld # 1342950900
In the performance of this work I agree to perform all work pursuant to rules governing the described constru<;tion.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the rk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easem nt
holder(s) and to secure any necessary approvals before starting such activity.
Signature"'---' ~
Address
PO BOX 42
Agent/Owner
BERLIN
WI 54923 - 0
Telephone Number 20-428-7000
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per it Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is r ceived. Work may
continue if the inspection is not performed within two business days from the time the project is rea y.
City of Oshkosh
Division of Inspection Services
P.O. ~o~ 113&
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All infomiation 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 Servi es, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(s) will result in fees being doub ed or $100,00 plus the
nonnal pennit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S stem and have ade .u te unds check here
ifvou want this processed throuflh vour account 0
DATE
JOB ADDRESS 31l.-a &.:/'1 ~,-
OVVNER. J?-./'>.<-t.. fIo-...L--S>
CONTRACTOR . J-;: C- $
CHECK rtf ALL APPUCABLE
USE CATEGORY
~ingle Family
..SERVICE, ~New
DChange
DDuplex
DMulti-Family
ORental
o Commercial
DIndustrial
OTemporary
ONot Applicable
TYPE DOverhead
,lBUnderground
ON t Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
):lhase
Amps
I~o I t.'t'D
/
'2..~
Receptacles # :'5-0
Switches # 1- r
Circuits #
s/"""
ORange
OFan OR Blower
DMotors
DDishwasher
OFumace
OGas Pumps
OGarbage Disposal
DAlC
DOther
ODryer
OElectric Sign
FixtUres #
CHECK rtf ALL APPLICABLE
DESCRIPTION OF ALL WORK BEING DONE )it 5 rb
, ' VALUE (Including labor and all materials including light IlXtures) $ lfJ'ID
MASTERELECTRICIAN~
c::::;./"..----
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3/02