HomeMy WebLinkAbout0099713-ElectricOSHKOSH
ON THE WATER
JobAddress 3214 BELLFIELD DR
Contractor VAN ERT ELECTRIC
Service ~) New
Volts 120/240
Amps 200
Appliances
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CREATIVE CUSTOM HOMES'& DEVELOP
Category 611 - Residential-New Single Family Wirin
Change 0 Temp I Type 0 Overhead
Circuits 18
Switches 30
Range, Dishwasher, Garbage Disposal, Dryer, Fan or Blower & Furnace.
No 99713
Create Date 02/03/2003
Plan
(~) Underground
Fixtures
Receptacles
60
Use/Nature of ~ISFR/Wire new home. *Job #F1512-CS.
Work
Fees: Valuation $4,500.00
Issued By:
Plan Approval
$0.00 Permit Fee Paid $105.00
Date 02/06/2003
[] Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
KAUKUANA WI 54130 - 0 Telephone Number
Address 2000 PROGRESS WAY 920-766-3888
02/06/02 09:52 FAX 920 766 0883 VAN ERT ELECTRIC
City o £ Oshkosh
'Division o f lnsp, ct'.~ Services
P.O. Box ! 130
O'shkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All in£ormation afte~ 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 [aspect/on Services, PO Box I t 28.
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00
normal permit fee, which ever is greater.
OR
~t ce'dec unt Svstetn a .
oa _ zl
CHECK [] ALL APPLICABLE
.~_ CATEGORY
.~i~ngIe Family
szRv cE ew
EIDuplex I"lMulti-Family
VITcmporary
E]Not Applicable
VIRental FICoramercial Cllndustrial
TYPE I-]Overhead UINot Applicable
~nderground
FIlL IN 'rite APFROPRIATE BLANK WITH THE i~JMBER
Volts ~ Receptacles # ~0
Phase. ~ -. -
Amps ~ ~' Switc~ g ~
Circuits it, ts
Fixtures # i "~
CHECK [~ ALL APPLICABLE
R~ge ~ishwasher
OR Blower ,~urnace
VIMotors 171Gas Pumps
DRSCRIPTION OF ALL WORK BEING DONE
,.~l~arbage Disposal .-~Dryer
i:]A/C ElEIcc~c Sign
[3Other
UlWater Heater
VALUE (Inelud!ng I.aSor an~l all materials including light fixtures)
I~STER ELEC'TRICIAI~