HomeMy WebLinkAbout0127420-Electric
G
OSHKOSH
ON THE WATER
Job Address 2875 HOMESTEAD DR
Contractor ELECTRICAL CONTRACTING SPECIAL!:
CITY OF OSHKOSH
No
127420
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
. New
o Change 0 Temp
Owner RUSCH HOMES LLC Create Date 10/23/2007
Category 611 - Residential-New Single Family Wirin Plan
ON/A Type o Overhead . Underground
Circuits 25 Luminaires 20
Switches 25 Receptacles 50
Volts 120/240
tunps 200
Appliances Range, d.w., g.d., dryer, furn, AlC
Use/Nature of SFR\ New single family home wiring
Work
Fees: Valuation
$4,100.00
Plan Approval
$0.00
Permit Fee Paid
$128.00
Issued By:
&l~
"
Date 10/23/2007
D Permit Voided I
. Parcelld # 1341950000
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
AgenUOwner
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOJH
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 particioating in the Permit Fee Account System and have adequate funds, check here
if yOU want this processed through your account 0
DATE ID/Z3/0/
JOB ADDRESS ~S 7) )*,~""Yr----.ft
OWNER fZv~...t... {*'~
CONTRACTOR ~ (,5>
CHECK It! ALL APPLICABLE
USE CATEGORY
f21Single Family
SERVICE l}lNew
o Change
DDuplex
DMulti-Family
DRental
DCommercial
Dlndustrial
DTemporary
DNot Applicable
TYPE DOverhead
~Underground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
V oIts
Phase
Amps
17.-0 / 2. "10
)
1--~t>
L'~
Receptacles # ~
Circuits # 'Z)
Switches # 2 ,-
Fixtures # 'J..D
CHECK It! ALL APPLICABLE
~Range
DFan OR Blower
DMotors
rnDishwasher
~Fumace
DGas Pumps
flIGarbage Disposal
~AlC
D Other
~Dryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
1-l) p i2..
VALUE (Including labor and all materials including light fixtures) $ 'II (J1) 4-
MASTER ELECTRICIAN
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3/02