HomeMy WebLinkAbout0126862-Electric
G
OSHKOSH
ON THE WATER
Job Address 1120 PHEASANT CREEK DR
CITY OF OSHKOSH
No
126862
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
. New
o Change 0 Temp
Owner CYPRESS HOMES Create Date 08/29/2007
Category 611 - Residential-New Single Family Wirin Plan
o N/A Type o Overhead . Underground
Circuits 20 Luminaires 40
Switches 30 Receptacles 40
Contractor TEAM SERVICES INC
Volts 120/240
Amps 200
Appliances Range, Dishwasher, Furnace, Garbage Disposal, AlC, Dryer
Use/Nature of NSFR / WIRING FOR NEW HOME TSI JOB #72899 **check #58793
Work
Fees: Valuation $3,000.00
Issued By: ~s.
Plan Approval
$0.00
Permit Fee Paid
$94.00
Date 09/19/2007
D Permit Voided I
Parcelld # 1342500300
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
Agent/Owner
Address
2602 AMERICAN DR
APPLETON WI 54914 - 9010
Telephone Number (920) 738-5885
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
',.5I 702 89'1
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THE WATER
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor varticivatinf! in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this processed through vour account D
DATE~~' i u-7
JOBADDRESS 1J0l G P~'O..$t\..~+ Cr~'C"-
OWNER C '/ Y'r-~J 5 /-1-(1 'IY\ -(.5
CONTRACTOR -,--eV\rY\ ~elv/c-.eJ
CHECK 0 ALL APPLICABLE
USE CATEGORY
,gsingle Family DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial
SERVICE ~ew
DChange
o Temporary
DNot Applicable
TYPE DOverhead
~nderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
1020 / oUt ()
/
C)..o-tJ
Receptacles #
i/o
30
Circuits #
~e>
1./0
Switches #
Fixtures #
CHECK 0 ALL APPLICABLE
2tRange
DFan OR Blower
DMotors
,01)ishwasher
,Jafurnace
DGas Pumps
Zl'Garbage Disposal
~C
,
DOther
;a1)ryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE X) ....~J t O~.{ -h v c +;,~
-
VALUE (Including labor and all materials ijJi.d'
MASTER ELECTRICIAN (If
light fixtures) $ 3lJ a ()
I
,-40,,/.J, (}(J
rr:-e ,-&-
3/02