HomeMy WebLinkAbout0125533-Electric
e
OSHKOSH
ON THE WATER
Job Address 3160 BAILEY CT
Contractor ELECTRICAL CONTRACTING SPECIAL!:
CITY OF OSHKOSH
No
125533
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RUSCH HOMES LLC Create Date 06/14/2007
-~
Category 611 - Residential-New Single Family Wirin Plan
o NIA Type . Overhead o Underground
Circuits 30 Luminaires 35
Switches 40 Receptacles 75
Service
. New
o Change 0 Temp
Volts 120/240
Am ps 200
Appliances Range, Dishwasher, Furnace, Garbage Disposal, AlC, Dryer
Use/Nature of NSFR 1 WIRING FOR NEW HQME
Work
Fees: Valuation $4,200.00
Issued By: ~~
Plan Approval
$0.00
Permit Fee Paid
$128.00
Date 06/27/2007
D Permit Voided I
Parcelld # 1342950500
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature~~ _ Date {, ,/2 'lit 7
AgenUOwner
Address 4641 RED FOX RD
OSHKOSH
WI 54904 - 7784
Telephone Number (920) 230-1994
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division ot Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone"(920) 236-5050'
Fax. (920) 236-5084
~
OJHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete applications will not be proce$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 $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
[fvou are a contractor "artici"atinf! in the Permit Fee Account System and have adequate funds. check here
ifvou want this "rocessed throuf!h your account D' .
b/--Z?/O-'
DATE
JOB ADDRESS . <3/ (p 0 /)a.", (~l ~.,-
OWNER" ~.$.,t... Ifo--,- <"
CONTRACTOR !!.' c...~
CHECK ta ALL APPLICABLE
USE CATEGORY
)mSingle Family
. SERVICE. tHNew
OChange
DDuplex
DMulti-Family
DRentaI
DCommercial
o Industrial
OTemporary
ONot Applicable
TYPE OOverhead
~nderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
. Volts J ~o I 'Z-tfO
:phase r
:Amps ~
Receptacles # r; r
Switches # Lj 0
Circuits # '30 .
/"
FJXtU.res # .5 s
CHECK ta ALL APPUCABLE
f31Range
OPan OR Blower
OMotors
~ishwasher
i;JFumace
OGas Pumps
~bage Disposal
i;aAlC .
DOther
SIDrYer OWater Heater
tJElectric Sign .
DESCRIPTION OF ALL WORK BEING DONE
1\.( S r-=- r<.
" . VALUE (Including labor and all materials including light f"Ixtures) $ tf2- 00 ~
MASTERELECTRICIAN ~.~
3/02