HomeMy WebLinkAbout0098484-Electric I CITY OF OSHKOSH No98484
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2331 SHORE PRESERVE DR Owner GRUNDY ENTERPRISES Create Date 10/16/2002
Contractor SUBURBAN ELECTRIC INC Category 611 - Residential -New Single Family Wirin Plan
Service 0 New 0 Change 0 Temp Type 0 Overhead 0 Underground
Volts 120/240 Circuits 11 Fixtures 36
Amps 200 Switches 75 Receptacles 83
Appliances Range, Dishwasher, Water heater, Garbage Disposal, Furnace, Dryer & A/C.
Use /Nature of NSFR/ Wiring for new home.
Work
Fees: Valuation $8,520.00 Plan Approval $0.00 Permit Fee Paid $165.00
Issued By: Date 11/07/2002
❑ Permit Voided
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 709 HICKORY FARM LN APPLETON WI 54915 - 0 Telephone Number (920) 739 -5156
® Division of Inspection Services
215 Church Avenue
P.O. Box 1130
04E0 Oshkosh, WI 54903-1130
F (
Fax (920) 236-5084
Phone (920) 236 -5046 I
ELECTRICAL PERMIT APPLICATION NOV 0 7 'c. '
All information after bold categories must be provided.
Incomplete applications will not be processed. DUEPARTMENAI�Y DEVT OP OF
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DATE N c • 5, 0
JOB ADDRESS „ 33I 3110 re, PrQS(�.rvle� Dr. MENT
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OWNER Ain- ke.1d C.(J.,%A - rnCS
CONTRACTOR S w \-4 .k'1 (sia,� (Y -ime s
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY )DUPLEX MULTI- FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE (NOW CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD UNDER NOT APPLICABLE
NO. OF FIXTURES ?ip SWITCHES YA, 175 RECEPTACLES g3 CIRCUITS I
AMPS o(OC VOLTS an /9.40 PHASE 3
CHECK ALL APPLICABLE
RANGE ✓ WATER HEATER t/ GARBAGE DISPOSAL / DRYER 17
DISHWASHER Y FAN OR BLOWER FURNACE V A/C V
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE 0-(e S P.r yr CP.
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and all ma erials including light fixtures) $ i5(Q6).
1 V
MASTER ELECTRICIAN // — 1