HomeMy WebLinkAbout0125405-Electric
o
OSHKOSH
ON THE WATER
Job Address 3880 EDGEWOOD RD
CITY OF OSHKOSH
No
125405
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RICHARD JfNANCY S CASEY Create Date 05f29f2007
Contractor ELECTRICAL CONTRACTING SPECIAL!
Category 611 - Residential-New Single Family Wirin Plan
Service
Ie New
120f240
o Change 0 Temp
o NfA
Type 0 Overhead
. Underground
Volts
Circuits
Luminaires
Amps
200
Switches
Receptacles
Appliances Range, dishwasher, garb. disp., dryer, furn., AlC, exh. fans.
Use/Nature of NSFRf New single family* 1 story 3 car attached garage and 15' x 25' concrete patio.
Work
Fees: Valuation
Issued By: /"f-rt:.."--'
$10,100.00
Plan Approval
$0.00
Permit Fee Paid
$219.00
Date 06f19/2007
o Permit Voided I
Parcelld # 1280150203
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s} and to secure any necessary approvals before starting such activity.
Signature -::;;;?_.~.
Date
C//9~7
.
Address
4641 RED FOX RD
Agent/Owner
OSHKOSH
WI 54904 - 7784
Telephone Number (920) 230-1994
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone'(920) 236-5050'
Fax (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will Dot be procC$sed.
. 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 pennit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
Ifvou are a contractor participatin!! in the Permit Fee Account System and have adequate funds. check here
ifvou want this processed throu!!h your account D. ,
DATE <1t9rh <-7
JOB ADDRESS S'Yfi3o e~~AJODJ
OWNER'. C,J;/s"- /Jb~s
CONTRACTOR C- <2- s;
~...
CHECK &?J ALL APPUCABLE
USE CATEGORY
J21Single Family
,. SERVICE, )3New
DChange
DDuplex
OMulti-Family
ORental
o Commercial
o Industrial
DTemporary
DNot Applicable
TYPE DOverhead
,)qUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
, Volts
:fhase
:Amps
Jz.o I Z-.fo
I
~C>O
/
Receptacles # '75
Switches # 5' ?)
Circuits #
LiO,
Fixtures #
dD
CHECK &?J ALL APPLICABLE
,5Range
OFan OR Blower
OMotors
~Dishwasher
J!'!IFumace
OGas Pumps
~Garbage Disposal
~NC '
o Other
l2IDryer DWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE IV.( FI<.
. ' VALUE (Including labor and all materials including light ilXtures) $ ! Qr Il)t)
.
MAsTER ELECTRICIAN .--::::::>
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3/02