HomeMy WebLinkAbout0123999-Electric
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OSHKOSH
ON THE WATER
Job Address 1030 JOHN MOORE DR
CITY OF OSHKOSH
No 123999
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
RUSCH HOMES LLC
ate Date 03/22/2007
Circuits
Type 0 Overhead
25
Underground
Contractor
ELECTRICAL CONTRACTING SPECIAL!:
Category 611 -_I3~sid_ential-New Single Family Wirin
Volts
o New
120/240
o Change 0 Temp
. N/A
Service
Amps
200
Switches 25
eceptacles
30
50
uminaires
Appliances
Use/Nature of NSFR/1 story home with a 2 car attached garage, 13'6'~x20'concrete patio.
Work
Fees: Valuation
$4,500.00
Plan Approval
$0.00
Permit Fee Paid
Issued By:
-L
Date 03/30/2007
o Permit Voided I
arcelld # 1342951600
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the w rk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easeme t
holder(s) and to secure any necessary approvals before starting such activity.
Signature ---;> ~ -- Date
Agent/Owner
Address
PO BOX 42
BERLIN
WI 54923 - 0
Telephone Number 20-428-7000
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Per it Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is r ceived. Work may
continue if the inspection is not performed within two business days from the time the project is rea y;
(
C[ity of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050
Fax (920) 236-5084
~
ifHKOfH
ON rHF WATER
ELECTRICAL PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be proce$sed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Sees, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work withoutpennit(s) will result in fees being dou led or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit Fee Account S stem and have ode check here
ifvou want this Drocessed throuf!h VOU7- account 0
DATE
JOB ADDRESS 1t)::>O ..fb t,..-.. ~,-.It-
OWNER. flvX-t.. /ft,~-->
CONTRACTOR ~C5
CHECK m ALL APPLICABLE
USE CATEGORY
OSingle Family
.' SERVICE, J3New
, o Change
DDuplex
DMulti-Family
DRental
DCommercial
DIndustriaI
DTemporary
DNot Applicable
TYPE DOverhead
-EfYndergr01md
ON t Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts (pc:> / l..f b
:rhase f
AmPs ~e:.
Receptacles #
Circuits #
Switches #
FixtUres #
CHECK m ALL APPLICABLE
ORange
DFan.QR Blower
OMotors
ODishwasher
OFumace
OGas Pumps
DGarbage Disposal
DAlC
DOther .
DDryer Water Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
. . VALlIE (Including labor and all materials including light fixtures) $ i/$7J'D
MASTER ELECTRICIAN ~ J;?/
3/02