HomeMy WebLinkAbout0133804-ElectricCITY OF OSHKOSH No 133804
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 910 JOHN MOORE DR Owner RUSCH HOMES LLC Create Date 10!14/2008
Contractor ELECTRICAL CONTRACTING SPECIALI: Category 611 -Residential-New Single Family Wirin Plan
Service New Q Change Q Temp ~ N/A Type Q Overhead ~ Underground
Volts 120/240 Circuits 30 Luminaires 20
Amps 200 Switches 25 Receptacles 50
Appliances
Use/Nature of New Single Family Residence, Quad Level. 2030 sf living, 3 bedroom, 2.75 bath, 672 sf attached garage, 14x14 patio.
Work
Fees: Valuation $4,400.00 Plan Approval $0.00 Permit Fee Paid $128.00
Issued By:
^ Permit Voided
Date 11/04/2008
Parcel Id # 1342950000
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 ~ Z~~ - Date / ! y D~
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 HKO.lH
ON 7HE WATER
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifyouu are a contractor articipatin in the Permit Fee Account System and have adequate funds check here
if you want this Drocessed through your account ^
DATE «~~//a a
JOB ADDRESS~1/ d ~~~ ~~ pr.
OWNER ~.,sa. l~{o~,~,
CONTRACTOR ~~5
CHECK H ALL APPLICABLE
USE CATEGORY
~1Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
SERVICE I~iew ^Temporary TYPE ^Overhead ^Not Applicable
^Change ^Not Applicable ~Jnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts !20 / ~~(o Receptacles # S~ Circuits # 3n
Phase
Amps ~~
CHECK B ALL APPLICABLE
Range Dishwasher
^Fan OR Blower 18~'urnace
^Motors ^Gas Pumps
Switches # 27~
~1Garbage Disposal
~fA/C
^ Other
Fixtures # Zp
'Dryer ^Water Heater
^Electric Sign
DESCRIPTION OF ALL WORK BEING DONE_ ~SF'~
VALUE (Including labor and all materials including light fixtures) $ C~c{6D
MASTER ELECTRICIAN ~~_,,, ~~
3/oz