HomeMy WebLinkAbout0124399-Electric
.
OSHKOSH
ON THE WATER
Job Address 864 KEENVILLE LN
CITY OF OSHKOSH
No
124399
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
HUISMAN HOMES LLC
Create Date 04/04/2007
Contractor
JK ELECTRIC
Category 611 - Residential-New Single Family Wirin Plan
Service
~w-
120/240
o Change 0 Temp
ON/A
Circuits
Type 0 Overhead
15
25
. Underground
Volts
Luminaires
Amps
200
Switches
Receptacles
40
Appliances
Use/Nature of NSFRI New single family 1 story* 3 car attached garage. NO DECK OR PATIO.
Work
~."'3'?Jr- .
.;/./(~ ;'-;~-.
Fees: Valuation ._j;;___ $3,500.00
Issued By: ar
Plan Approval $0.00
Permit Fee Paid ;;"" $111.00
Date 04/25/2007
o Permit Voided I
Parcelld # 1550010300
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 pplication withi an ea ement, the City strongly urges the permit applicant to contact the' easement
holder(s) and to secur ny ne essary a prov before starting such activity.
Signature
Date
Address
Agent/Owner
NEW LONDON WI 54961 - 8938
Telephone Number 920-982-7848
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.
9
City of Oshkosh
Division ofInspection 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
nonnal permit fee, which ever is greater.
OR
[(vou are a contractor DarticilJatinf! in the Permit Fee Account System and have adequate funds. check here
ifvou want this processed throuf!h your account D' .
JOB ADDRESS g-~ (I
OWNER - /1v't;W76'"
CONTRACTOR Ifu(~W1ijl\
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DATE ~/;2~.r
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CHECK li'J ALL APPUCABLE
USE CATEGORY
~Single Family
.'SERVICE Dmew
DChange
DDuplex
OMulti-Family
DRentaI
o Commercial
o Industrial
DTemporary
DNot Applicable
TYPE OOverhead
ijlUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Vcilts
:rhase
:Amps
176 17.<'{O
tJ.1Y1,Lr
?atJ
Receptacles #
7'0
J-L:)
Circuits #
/~
Switches #
FixtUres #
CHECK ~ ALL APPLICABLE
~ge
OFan OR Blower
OMotors
tlDishwasher
lS!IFurnace
DGas Pumps
Ebage Disposal
'Ale .
Other
~er DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
P/f'~.[rf(" (. <,,1/\
NelU ~-tJ:~
~
Ii ht fIxtures) $ ~ (Z"t1,~ .
;11 i ll-f.1- e.
MASTER ELECTRICIAN
3/02