HomeMy WebLinkAbout0127244-Electric
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OSHKOSH
ON THE WATER
Job Address 3210 MOCKINGBIRD WAY
CITY OF OSHKOSH
No
127244
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CASEY'S MEADOW LLC
Create Date 10/12/2007
Contractor
ELECTRICAL CONTRACTING SPECIALI
Category 611 - Residential-New Single Family Wirin
Plan
o Change 0 Temp
O_Ni~
Type 0 Overhead ________._~ns!€ir:.9!9~E'_~____i
Service
. New
120/240
Circuits
Volts
25
25
Luminaires
20
Amps
200
Switches
Receptacles
50
Appliances ,Range; Dishwasher, Furnace, Garbage Disposal, AlC, Dryer
Use/Nature of INSFR / WIRING FOFff'fEWHOrvfE--------
Work I
i
L
________________J
Fees: Valuation $4,200.00
Issued By: ~ -
Plan Approval
$0.00
Permit Fee Paid ___tl.28.00
Date 10/12/2007
o Permit VoidedJ
Parcelld # 1336090000
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
/o/; ,-I ()'7
, .
Address
4641 RED FOX RD
OSHKOSH
WI 54904 - 7784
Telephone Number (920)239-19~4
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
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ON THF WATFR
ELECTRICAL PERMIT APPLlCA liON
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor particioating in the Permit Fee Account Svstem and have adequate funds, check here
ifvou want this processed through vour account 0
DATE /o!z../IJ"7
( I
JOB ADDRESS ~ 2/0 /kodc.J+' d t.-f~
OWNER ~.$~ [{o~S
CONTRACTOR t:~5
CHECK 0' ALL APPLICABLE
~_E CATEGORY
~ingle Family DDuplex DMulti-Family
SERVICE pzlNew DTemporary
DChange DNot Applicable
DRental
DCommercial
DIndustrial
TYPE OOverhead
)ZlUnderground
ONot Applicable
Volts
Phase
Amps
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
{2o I 2r./o
/
2..i>o
Receptacles # 0
Circuits # :2-5 /
Switches # 1.-~/
Fixtures # tJ.-o
CHECK 0' ALL APPLICABLE
llZfRange
DFan OR Blower
DMotors
EifDishwasher
~urnace
DGas Pumps
I6fGarbage Disposal
taA/C
DOther
~Dryer OWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE }../ 5 F R.
VALUE (Including labor and all materials including light fixtures) $ '-/ ~o ()
MASTER ELECTRICIAN -:/ ~~
3/02