HomeMy WebLinkAbout0126206-Electric
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OSHKOSH
ON THE WATER
Job Address 854 KEENVILLE LN
CITY OF OSHKOSH
No
126206
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
HRS DEVELOPMENT INC
Create Date 08/10/2007
Contractor
JK ELECTRIC
Category 610- Residential-New Single Family Servi
Plan
Service
. New 0 Change 0 _Te~~_ 0 -_~f~== Type Q9yerhead
120 f 240 Circuits 10
~--
. Underground ~
Volts
Luminaires 10
Amps
200
Switches
30
Receptacles
60
Appliances
IRange, Dishwasher, Furnace, Garbage Disposal, NC, Dryer
I
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___________________J
Use/Nature of NSFR f WIRING FOR NEW HOME
Work
Fees: valua~'_oq ~ ___ $3,500.00
Issued By: ~
Plan Approval _____$0.00
Permit Fee Paid ~:L1J .00
Date 08/10/2007
o Permit Voided_II
_..._----~._~
Parcelld # 1550010200
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 se ire. afI}y. _ nece ary pprovals before starting such activity.
Signature {J-- Date >t-/cJ-07
Agent/Owner
NEW LONDON WI 54961 - 8938
Telephone Number (920) 982-7848
Address
E9102 MANSKE RD
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 of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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ON THF WATFR
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
normal permit fee, which ever is greater.
OR
If yOU are a contractor oarticioating in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed through your account 0
DATE
~-I{) ",0 '7
JOB ADDRESS
OWNER
CONTRACTOR
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CHECK It( ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex
o Multi-Family
o Rental
o Commercial
o Industrial
SERVICE ~New
DChange
o Temporary
DNot Applicable
TYPE DOverhead
~Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V ~Its (0.0 I:;J L! 0
Phase I
Amps /.00
Receptacles # 6' ()
Switches # 3 00
Circuits # / l)
Fixtures # 10
CHECK It( ALL APPLICABLE
e3Range
DFan OR Blower
DMotors
E1Dishwasher
ffFumace
DGas Pumps
lpGarbage Disposal
,ElAtC
o Other
~Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
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