HomeMy WebLinkAbout0144614-Electric CITY OF OSHKOSH No 144614
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3348 MOCKINGBIRD WAY Owner CASEY'S MEADOW LLC Create Date 11/22/2010
Contractor BOE ELECTRIC LLC Category 611 - Residential -New Single Family Wirin Plan
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground
Volts 120/240 Circuits Luminaires
Amps 200 Switches Receptacles
Appliances range, dishwasher, disposal, dryer, fan, furnace, a/c
Use /Nature of NSFR/ New quad level home with a 2 car attached garage.
Work
Fees: Valuation �� $4,300.00 Plan Approval $0.00 Permit Fee Paid $128.00
Issued By: a../Y .O%1 Date 01/11/2011
Permit Voided I Parcel Id # 1336210000
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 `/J Date 1 '-/
Agent/Owner
Address 4423 EUREKA RD OMRO WI 54963 - 9615 Telephone Number (920) 312 -1980
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 OfHKOJH
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 contractor participating in the Permit Fee Account System and have adequate funds, check here
ifyou want this processed through your account ❑
DATE —// - / /
JOB ADDRESS 3 Sind y14, /c.
OWNER /,�r, -� 454 �r
CONTRACTOR 41 67ec /-ic L - 4
CHECK H ALL APPLICABLE
USE CATEGORY
$Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE EfNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable AUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /2/5 / 2/6 Receptacles # Circuits #
Phase /
Amps 26' Switches # Fixtures #
CHECK la ALL APPLICABLE
Range dishwasher BGarba Disposal clbbryer ❑ Water Heater
Fan OR Blower 23Furnace VEA /C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
11 OF ALL WORK BEING DONE r/ddilc " rar �a ..s � /� L J
VALUE (Including labor and all materials including light fixtures) $ '-/ 3(5l)
MASTER ELECTRICIAN
3/02