HomeMy WebLinkAbout0124614-Electric
o
OSHKOSH
ON THE WATER
Job Address 3230 MOCKINGBIRD WAY
CITY OF OSHKOSH
No
124614
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CASEY'S MEADOW LLC Create Date 04/17/2007
Category 611 - Residential-New Single Family Wirin Plan
Contractor ELECTRICAL CONTRACTING SPECIALI:
Service
Ie New
o Change 0 Temp
ON/A
Type 0 Overhead
. Underground
Volts
Circuits
Luminaires
Receptacles
Amps
Switches
Appliances Range, Dishwasher, Furnace, Garbage Disposal, AlC, Dryer
Use/Nature of NSFRI New single family' 1 story with 2 car attached garage and a 14' x 14' concrete patio. The driveway will be 24' wide.
Work
$128.00
Fees: Valuation $4,300.00
Issued By: ~,LJ
Plan Approval
$0.00
Permit Fee Paid
Date 05/03/2007
D Permit Voided I
Parcelld # 1336070000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature~-~
Date
5~rl
Address
PO BOX 42
Agent/Owner
BERLIN
WI 54923 - 42
Telephone Number 920-428-7000
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1qO
Phone'(920) 236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be proce$sed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to fuspection 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 pennit fee, which ever is greater.
OR
/fvou are a contractor lJarticilJatinf! in the Permit Fee Account Svstem and have adeouate funds. check here
ifvou want this processed throuf!h vour account D. .
DATE -(~/41
JOB ADDRESS . "3~:>o ~C--/C.~'7h"r,( tJ7
OWNER' ~>t:." I";"'~.s
(
CONTRACTOR g<::.-J
CHECK ltI ALL APPLICABLE
USE CATEGORY
)i'tSingle Family
SERVICE. ;gTNew
DChange
DDuplex
DMulti-Family
DRental
DCommercial
o Industrial
DTemporary
DNot Applicable
TYPE DOverhead
bmlnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts
:phase
~ps
/20 f fl-tf 0
r
~
Receptacles # 5"1>
Switches # <;30
Circuits # .:s 0 .
FixtUres # yo
CHECK ltI ALL APPLICABLE
~ge
OFan OR Blower
OMotors
I;aDishwasher
fS1Fumace
OGas Pumps
~bage Disposal
f'fJA/C
DOther
,QDtyer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE N .5 ~ ~
. . VALUE (Including labor and all materialS including light llXtures) $ '-/3 0-0
MASTERELECTRICIAN ~-:>-//-
3/02