HomeMy WebLinkAbout0128178-Electric
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OSHKOSH
ON THE WATER
Job Address 3270 CASEY TRL
CITY OF OSHKOSH
No
128178
ELECTRIC PERMIT - APPLICATION AND RECORD
o Change 0 Temp
Owner CHET WESENBERG ARCHITECT LLC Create Date 12/13/2007
Category 611 - Residential-New Single Family Wirin Plan
ON/A Type o Overhead . Underground
Circuits 30 Luminaires 20
Switches 30 Receptacles 50
Contractor HULLAR ELECTRIC LLC
Service
I. New
Volts 120/240
Amps 200
Appliances Range, dishwasher, garb. disp., dryer, furnace, water heater, furnace, AlC & bath fans.
Use/Nature of NSFRI 2 story house with a 3 car attached garage, 15'x20' rear patio.
Work
Fees: Valuation ~
Issued By: ~
$7,700.00
Plan Approval
$0.00
Permit Fee Paid
$179.00
Date 12/17/2007
o Permit Voided I
Parcelld #
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 ces ry a before starting such activity.
Signature
Date /2 -J? -()?
AgenUOwner
Address
4932 W 9TH STREET RD
OSHKOSH
WI 54904 - 6530
Telephone Number (920) 233-3667
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
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 54903-1.128. 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 through vour account 0
CONTRACTOR
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DATE /2. / /7/07
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JOB ADDRESS:S 2 70
OWNER (LJ
CHECK It1 ALL APPLICABLE
USE CATEGORY
~le Family
SERVICE ~.
DChange
ODuplex
OMulti-Family
o Rental
o Commercial
o Industrial
DTemponiry
DNot Applicable
TYPE DOverhead.
DUnderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts
Phase
Amps
j 2 0 / Z 1(0
I
2 .!)Q
Receptacles #
')0
Circuits #
]0
2..;;
Switches #
3.,-:)
Fixtures #
CHECK It1 ALL APPLICABLE
falGnge
DFan OR Blower
o Motors
rnbjshwasher
BFurnace
OGas Pumps
~bage Disposal
0A/C
o Other
~r ~Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
fl/c v--
(un));.. vIt',-,
MASTER ELECTRICIAN
fixtures) $ 7 7{)0, OJ
VALUE (Including labor and all materials ine, din
3/02