HomeMy WebLinkAbout0127417-Electric
G
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
127417
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1050 JOHN MOORE DR Owner RUSCH HOMES LLC
Contractor ELECTRICAL CONTRACTING SPECIALI: Category 611 - Residential-New Single Family Wirin
Service . New o Change o Temp o NIA Type o Overhead
Volts 120/240 Circuits 25
Amps 200 Switches 25
Create Date 10102/2007
Plan
. Underground
Luminaires 20
Receptacles 50
Appliances Range, d.w., g.d., dryer, fum, AlC
Use/Nature of NSFR/1 story home with a 2.car attached garage, 14'x14' concrete patio.
Work (
$128.00
Fees: Valuation $4,200.00
Issued By: If'fK'
Plan Approval
$0.00
Permit Fee Paid
Date 10/23/2007
o Permit Voided I
Parcelld # 1342951800
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 (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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THe 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 vou are a contractor participating in the Permit Fee Account Svstem and have adequate funds, check here
if vou want this processed throuzh vour account 0
DATE /'C/Z-3/D'"
r ,
JOB ADDRESS I D ~() Sblu.. ~
OWNER 1< d...,--,^- ~~~
",
CONTRACTOR e. e.~
CHECK ~ ALL APPLICABLE
USE CATEGORY
~Single Family
SERVICE paNew
DChange
DDuplex
DMulti-Family
o Rental
o Commercial
o Industrial
DTemporary
DNot Applicable
TYPE DOverhead
rtiUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
, 2-0 / 1.. 0/0
)
~oo
Receptacles # S..,
Circuits # L ~
Switches # 2.. S
Fixtures # )-0
CHECK 0' ALL APPLICABLE
~Range
DFan OR Blower
DMotors
ji'JDishwasher
IliFurnace
DGas Pumps
~Garbage Disposal
WAlC
DOther
~ryer DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
NSrrl..
VALUE (Including labor and all materials including light fixtures) $ t!2ti7) .~
MASTER ELECTRICIAN --L._~
3/02