HomeMy WebLinkAbout0127862-Electric
G
OSHKOSH
ON THE WATER
Job Address 3940 HEMLOCK CT
CITY OF OSHKOSH
No
127862
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
G F HOLDINGS LLC
Create Date 11/01/2Q.Q?_
Plan
Contractor
P&J KAMPO ELECTRIC INC
Category 610 - Re~de~~I-New Sin}lJ~family'-~~rvi
Service
:_ N~w'~ Change OTemp __O~N/A --I
120/240 Circuits
Type O_Q\lElrb~_~___,__ ~.._._ld~d.e,~gr()u.ndm____ ".
Volts
20 Luminaires 20
Amps
200
Switches 25
Receptacles
50
Appliances
,
"---~.,----_._--_.._-_._-_._._..__.._.~
Use/Nature of ,NSFROJew sm9le famiV:r caratachedg'ar'ageTO'x-15i:6"patro.ThedrlVeway'shan'nofexceed 24' wide'aHhefronlproperty-iirie,"
Work '
,
i
I
.___..___._.________._._____~_____,_____________,_..J
Fees: Valuation ~,_~,500,00
Plan Approval __JO,OO
Permit Fee Paid
$145,00
Issued By:
o~
Date 11/16/2007
o Permit Voi~
Parcelld # 1282000900
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 f~?0L7~Q~8556_
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.
~".J -,,' .~~..._.._........
Division ofInspection Services
P.O. Box 1130
Oshkos~ WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
IncolJlPlete 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 re~ult in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. . .
OR
If YOU are a contractor participatinf! in the Permit Fee Account System and have adeQuate funds. check here
if YOU want this processed through your account 0
DATE
/ /-1 :;L - 0 7
JOB ADDRESS 3 9</0 l..{.t:w.Jcc-k C+
OWNERYGrt-3iJ~ 13v; (J{('~
CONTRACTOR ?J..~ -Kct~a 2{~{:..r.~ :ene...
CHECK lit ALL APPLICABLE
USE CATEGORY
~ngle Family
SERVICE ~ew
DChange
DDuplex .
DMulti-Family
DRental
OCommercial
DIndustrial
DTemporary
DNot Applicable
TYPE DOverhead
~derground
DNQtApplicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Switches #
:;-0
a-.s-
Circuits #
flCJ
:;20
Volts
Phase
Amps
I 'QC) I d- va
I
d'OO
Receptacles #
Fixtures #
CHECK lit ALL APPLICABLE
N1<ange ~shwasher OOarbage Disposal
DFan OR Blower 81Furnace ~
DMotors DGas Pumps DOther _
DESCRIPTION OF ALL WORK BEING DONE rJ 'C- ~ \K-es ~
\:rnryer OWater Heater
OElectric Sign
"0
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN 9"".,J 9 ~
SSOCJ
DEPARTfvlEN-r OF
COMMUNI.TY DEVELOPMENT
INSPECTION SERVICES DIVISION
.:P ///5_00
3/02