HomeMy WebLinkAbout0099710-ElectricOSHKOSH
ON THE WATER
JobAddress 3230 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 Widn
(~) Change (~ Temp I Type (~ Overhead
Circuits 18
Switches 30
~ange, Dishwasher, Garbage Disposal, Dryer, Fan or Blower &Fumace.
No 99710
Create Date 02/03/2003
Plan
(~ Underground
Fixtures
Receptacles
60
Use/Nature of NSFR/ Wire new home. *Job #F1512-CO.
Work
Fees: Valuation $4,500.00 Plan Approval $0.00
Issued By:
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
Address 2000 PROGRESS WAY Telephone Number 920-766-3888
0~2/06/02
09:52 FAX 920 766 0883
VAN ERT ELECTRIC
004/009
City of Oshkosh
Division of Inspection Services
P.O. Box l I30
Oshkosh, WI $4903- I 130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be providcd.
Incomplete applications will not bc processed.
Application(s) and fee(s) can be brought to City HaH, Room 205 or mailed to Inspection Services, PO Box 1 128,
Oshkosh WI 54903-1128. Commencing work without pcrmit(s) will result in fees being doubled or $100.00 plu<
normal permit fee, which ever is greater. '
OR
ou w n this roce sed thr u ~
CHECK [] ALL APPLICABLE
CATEGORY
~.,l~ngl¢ Family
OChange
VIDupl~x CIMulti-Family
IZITcmporary
EINot AppIi~ble
l"lRcntal EICommeroial E]Industrial
TYPE DOverhead E1Not Applicable
~J~nderground
Fixtures
CHECK [] ALL APPLICABLE
_~R~ge ~)ishwasher
an OR Blower ,~f~umacc
l-IMotors C]Gas Pumps
DESCRIPTION OF ALL WORK BEING DONE
~arbage Disposal ~er
EIA/C EIElectric Sign
UlOther ~-
I-lWater Heater
VALLTE (Including l.abor an~l ~11 materials including light nztures) $_ ~,'~.., ~
MASTER ELECTRICIAN
3/