HomeMy WebLinkAbout0127416-Electric
e
OSHKOSH
ON THE WATER
Job Address 3135 BAILEY CT
CITY OF OSHKOSH
No
127416
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
:e New
o Change 0 Temp
Owner RUSCH HOMES LLC Create Date 10/02/2007
Category 611 - Residential-New Single Family Wirin Plan
ON/A Type o Overhead . Underground
Circuits 25 Luminaires 20
Switches 25 Receptacles 50
Contractor ELECTRICAL CONTRACTING SPECIAL!:
Volts 120/240
Amps 200
Appliances Range, d.w., g.d., dryer, furn, AlC
Use/Nature of NSFR/1 story home with a 2 car attached garage, 14'x14' patio.
Work
Fees: Valuation $4,200.00
Issued By: ~,..,,,
Plan Approval
$0.00
Permit Fee Paid
$128.00
Date 1 0/23/2007
D Permit Voided I
Parcelld # 1342951300
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
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 (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
~
OfHKOfH
ON THE WATER
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 particilJatin!Z in the Permit Fee Account System and have adequate funds. check here
ifvou want this processed through your account 0
DATE )0/'1-31 b-'
,
JOB ADDRESS '61'3S-- 8~/~ C-L-r.
OWNER tL"",l.... t.-Io ""'-'-?
CONTRACTOR ~ c....s
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex
o Multi-Family
o Rental
o Commercial
o Industrial
SERVICE ~New
o Change
DTemporary
DNot Applicable
TYPE DOverhead
I:lUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V ~Its
Phase
Amps
1'"2-0 I ~o/ 0
I
---z.-o1)
Receptacles # 0
Circuits # ~s.'---
Switches # ?- 5
Fixtures # ~...:o
CHECK ~ ALL APPLICABLE
~Range
DFan OR Blower
o Motors
~Dishwasher
IK1Furnace
DGas Pumps
$ Garbage Disposal
~AlC
o Other
W'Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE N S ':-I~
LII'\ "D. ~
VALUE (Including labor and all materials including light fixtures) $ -, ~
MASTER ELECTRICIAN
~
3/02