HomeMy WebLinkAbout0127474-Electric
G
OSHKOSH
ON THE WATER
Job Address 4012 HEMLOCK CT
CITY OF OSHKOSH
No
127474
ELECTRIC PERMIT - APPLICATION AND RECORD
Service
Ie New
o Change 0 Temp
Owner PORTSIDE BUILDERS Create Date 09/28/2007
Category 611 - Residential-New Single Family Wirin Plan
ON/A Type o Overhead . Underground
Circuits 20 Luminaires 20
Switches 20 Receptacles 40
Contractor P&J KAMPO ELECTRIC INC
Volts 120/240
Amps 200
Appliances Range, Dishwasher, Furnace, Garbage Disposal, NC, Dryer
Use/Nature of SFR / WIRING FOR A NEW HOME "check #3358
Work
Fees: Valuation $4,800.00
Issued By: ~ 8-
Plan Approval
$0.00
Permit Fee Paid
$128.00
Date 10/24/2007
D Permit Voided I
Parcelld # 1282001407
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
50 PHEASANT CT
APPLETON WI 54915 - 4527
Telephone Number (920) 730-8556
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 of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920)236-5050
Fax (920) 236-5084
~
DEP.4RTfvlENT OF OfHKOfH
CmJIIV!Ui'JITY DEVELOP~-'1ENT ON THF WATER
ELECTRICAL PERMj~~pptfe~T:r6NVISION
OCT 24 Z007
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 varticivating in the Permit Fee Account Svstem and have adequate funds. check here
if vou want this vrocessed throuf!h vour account 0
DATE I(')-~o 7
JOB ADDRESS J..fbl;l UeM lor/! C' f
OWNER rpc>rts~Je.. Cut Ide-r 5
CONTRACTOR 'P"'\'T~aYY\fb ~(('J,~~ ~ c...
CHECK Ii7 ALL APPLICABLE
USE CATEGORY
g]Single Family DDuplex
DMulti-Family
DRental
DCommercial
DIndustrial
SERVICE ~ew
o Change
o Temporary
DNot Applicable
TYPE DOverhead
-:&IUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts LAO I Otl[.O
Phase
Amps ...;(0 0
Receptacles # .J....I. D
Switches # d--c)
Circuits # d-.. 0
Fixtures # ~ 0
CHECK Ii7 ALL APPLICABLE
'18IRange
DFan OR Blower
DMotors
1iaDishwasher
19Furnace
DGas Pumps
~Garbage Disposal
J;aAlC
DOther
rsH>ryer DWater Heater
DElectric Sign
,-
DESCRIPTION OF ALL WORK BEING DONE y\)e:uJ \'-<esrJ..-",La {
h co
VALUE (Including labor and all materials including light fixtures) $ 4e>6D
MASTER ELECTRICIAN ?ctLlI T -ka W\F ~ cf 7784:>
3/02