HomeMy WebLinkAbout0131928-Electric/~'~ CITY OF OSHKOSH No 131928
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3201 W 9TH AVE Owner RUSCH HOMES LLC Create Date 07/30/2008
Contractor ELECTRICAL CONTRACTING SPECIALI Category 611 -Residential-New Single Family Wirin Plan
Service New ~ Change ~ Temp ~ N/A ' Type ~ Overhead _ _ _ ~ Underground
Volts 120/240 Circuits 25 Luminaires 20
Amps 200 Switches 25 Receptacles 50
Appliances Range, Dish., garb. disp., dryer, fum., A/C
Use/Nature of
Work
Fees: Valuation
Issued By:
Permit Voided
Plan Approval ' $0.00 Permit Fee Paid ' ~ $128.00
Date 07/30/2008
Parcel Id # 1342952800
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 ""1_~. .r„~- ' 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 (420)236-5084
L
01HKOfH
ON THE WATER
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 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. '
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds check here
if you want thisprocessed through your account ^
DATE 3 o v$
JOB ADDRESS 3 2O ( W ~ °~M
OWNER ~ ~ S a- ,~ow-~z.i ''
CONTRACTOR ~~~-S
CHECK B ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE New ^Temporary TYPE ^Overhead ^Not Applicable
^Change ^Not Applicable ~'[Jnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~~ / 2K° Receptacles # 5~ Circuits # Z 3 i
Phase t
Amps 2- ~ " Switches # ' 25' Fixtures # ~~
CHECK C~1 ALL APPLICABLE
l~Range Dishwasher ~iarbage Disposal Dryer ^Water Heater
^Fan OR Blower Furnace ~A/C ^Electric Sign
^Motors ^Gas Pumps ^Other
DESCRIPTION OF ALL WORK BEING DONE' /~!S F'R
VALUE (Including labor and all materials including light fixtures) $ ~ 3~ O `'J
MASTER ELECTRICIAN ~~ ~~/'
3/02