HomeMy WebLinkAbout0128389-ElectricCITY OF OSHKOSH No 12s38s
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3250 MOCKINGBIRD WAY Owner CASEY'S MEADOW LLC Create Date 12/21/2007
Contractor ELECTRICAL CONTRACTING SPECIALI: Category 611 -Residential-New Single Family Wirin Plan
Service New Q Change ^ Temp ~ N/A Type ~ Overhead ~ Underground
Volts 120 / 240 Circuits 30 Luminaires 25
Amps 200 Switches 25 Receptacles 50
Appliances
Use/Nature of
Work
Fees: Val
Issued By:
INSTALL WIRIN
500.00 Plan Approval $0.00 Permit Fee Paid $128.00
^ Permit Voided j
Date 01/07/2008
Parcelld # 1336050000
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 -r---2_, ~-?~.-- - Date ~ ~ V~
Agent/Owner
Address 4641 RED FOX RD OSHKOSH WI 54904 - 7784 Telephone Number (920) 230-1994
To schedule inspections please call the Inspection Request line at 236-51;28 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 v~ ^„~'
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084 O~nKO~I l
ON THE`WATER I 1
ELECTRICAL PERMIT APPLfCATION
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 you are a contractor participating in the Permit Fee Account Svstern and have adegzrate funds check here
~you want this processed through your account ^
DATE f~7~o~
JOB ADDRESS ~2-~ ~~t-ter-.4.bS ~^•~ w~:.y
OWNER ~~s~~ ~~S
CONTRACTOR Z-~ ~-5
CHECK D ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^1Vlulti-Family
SERVICE Flew ^Temporary
^Change ^Not Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER '.
Volts /~-~ / ~ Receptacles # S a
Phase /'
Amps 2c7~ Switches # -2 S~
CHECK Q ALL APPLICABLE
;®Range I~.Dishwasher Garbage Disposal
^Fan OR Blower Furnace IAA/C
^Motors ^Gas Pumps ^Other
^Rental ^Commercial ^Industrial
TYKE ^Overhead ^Not Applicable
~'fJnderground
Circuits # .~~
Fixtures # ~Sr
,~IDryer ^Water Heater
^Electric Sign
DESCRIPTION OF ALL WORK BEING DONE_ ~S~ 2
VALUE (Including labor and all materials including light fixtures) $ L~S~
MASTER ELECTRICIAN _ ~__
3/02