HomeMy WebLinkAbout0099582-ElectricOSHKOSH
ON THE WATER
,Job Address 1350 HEIDI HAVEN CT
Contractor SCHAFER ELECTRIC tNC
Service ~ New (~ Change
Volts 120 / 240
Amps 200
,~ CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
(~ Temp
Owner
Category
1
Circuits
Switches
MICHAEL D/JENNI WEBER
611 - Residential-New Single Family Wirin
Type ~) Overhead
28
35
No 99582
Create Date 01/07/2003
Plan
(~ Underground
Fixtures
Receptacles
6O
Appliances Aange, Fan or Blower, Dishwasher, Furnace, Garbage Disposal, A/C, Dryer
Use/Nature of NSFR/ New single family 2 story with 3 car attached garage.
Work
Fees: ValuaTn
Issued By: ~'.
$5,400.00 Plan Approval
$0.00 Permit Fee Paid $120.00
Date 01/24/2003
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
(920) 725-2031 M 585-3'
City of Oshkosh
Division of Inspection Services
P.D. Box 1130
Oshkosh, WI 54903-1130
P~one (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THF 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~ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
(ff vou want this processed through your account []
DATE
JOB ADDRESS
CONT CTOR
C][ECK [] ALL APPLICABLE
USE CATEGORY
E2~ingle Family
SERVICE .l~ew
VIChange
l-lDuplex IZlMulti-Family
F1Temporary
IZ1Not Applicable
IZlRental
TYPE
I-1Commercial r'llndustrial
FIOverhead F1Not Applicable
J213nderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /k0 / .~ Y~o Receptacles
Phase /
Araps- 67- oo Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
nnge
OR Blower
E1Motors
[it~ishwasher
121~urnace
F1Gas Pumps
crbage Disposal
F1Other
,,E~ryer
r'lElectric Sign
DESCRIPTION OF ALL woRK BEING DONE
FlWater Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN
3/02