HomeMy WebLinkAbout0096929-Electric ' CITY OF OSHKOSH No96929
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2335 SHORE PRESERVE DR Owner FOX CITIES CONSTRUCTION Create Date 07/12/2002
Contractor SCHAFER ELECTRIC INC Category 612 - Residential - Single Family Addition /R Plan
Service 0 New O Change 0 Temp Type 0 Overhead 0 Underground
Volts 120/240 Circuits 34 Fixtures 0
Amps 200 Switches 35 Receptacles 60
Appliances Range, Fan or Blower, Dishwasher, Fumace, Garbage Disposal, A/C & Dryer.
Use /Nature of NSFR/ Wiring for new home.
Work
Fees: Valuation $5,700.00 Plan Approval $0.00 Permit Fee Paid $120.00
Issued By: 11..W\ Date 08/29/2002
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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number (920) 725 -2031 M 585 -3'
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOIH
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 contractorj,articipating in the Permit Fee Account System and have adequate funds, check here_
if you want this processed through your account ❑
DATE ( 2 7 - D 2
JOB ADDRESS 0 7335 — - 24 /jet •
OWNER ,Or �ii�, �jf,�f •
CONTRACTOR 4.447/4„ •
CHECK B( ALL APPLICABLE
US CATEGORY
Single Family ❑Duplex ❑Multi- Family ❑Rental ❑Commercial ❑Industrial
SERVICE New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable $21tndergrotuid
FILL IN THE APPROPRIATE BLANK WITH TILE NUMBER
Volts /2o / 1 yo Receptacles # (,O Circuits # 35
Phase !,5
Amps - Jiro Switches # ,3S Fixtures #
CHECK B ALL APPLICABLE
I2(Range Dishwasher 12'Garbage Disposal Jryer ❑Water Heater
Wan OR Blower ,PfFurnace ,A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE A114, lyr- Apes
VALUE (Including labor and all materials including light fixtures) $ _T7Oo • �" / /2o 0
MASTER ELECTRICIAN ;
3 /02