HomeMy WebLinkAbout0130159-Electric/~ CITY OF OSHKOSH No 130159
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 975 JOHN MOORE DR Owner RUSCH HOMES LLC Create Date 05/12/2008
Contractor ELECTRICAL CONTRACTING SPECIALI• Category 611 -Residential-New Single Family Wirin Plan
Service New 0 Change ~ Temp ~ N/A Type ~ Overhead ~ Underground
Volts 120/240 Circuits 25 Luminaires 20
Amps 200 Switches 25 Receptacles 50
Appliances
Use/Nature of
Work
Range, D.W., G. D., Dryer, Furnace, & A.C.
New Single Family Home with Attached Garage: 1 story, 1320 sf, 462 sf garage, 13x15 patio.
Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $128.00
Issued By: ~~~ Date 05/27/2008
Permit Voided ~ Parcel Id # 1342952500
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 •Zz~ Date
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 236-5128 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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O.IHKO H
ON THE WATER
• 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 narticipatin~ in the Permit Fee Account System and have adequate funds check here
if you want this processed through vour account ^
DATE_ T/z ~ ~d ~
JOB ADDRESS q ~ 5~ ~ 1^~ ~~~-
OWNER K.~Sc. ~ N4-~.-~-5
CONTRACTOR L-~~S
CHECK f~ ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE l~jNew ^Temporary TYPE ^Overhead ^Not Applicable
Change ^Not Applicable [~Jnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~ Zo / Z~(D Receptacles # S`U Circuits # 2-S~
Phase 1 ~
Amps 2a o Switches # ~- 5 Fixtures # ~~
CHECK ®ALL APPLICABLE
Range lJDishwasher
^Fan OR Blower Furnace
^Motors ^Gas Pumps
l~'Garbage Disposal [Dryer ^Water Heater
/C ^Electric Sign
Other
DESCRIPTION OF ALL WORK BEING DONE K~ F~
VALUE (Including labor and all materials including light fixtures) $ 7~
MASTER ELECTRICIAN 2.`~ 5~~~~.~'
3/02