HomeMy WebLinkAbout0146314-Electric CITY OF OSHKOSH No 146314
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3308 MOCKINGBIRD WAY Owner RUSCH HOMES LLC Create Date 05/17/2011
Contractor HULLAR ELECTRIC LLC Category 611 - Residential -New Single Family Wirin Plan
Inspector Adam Krause
Service • New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground
Volts 120/240 Circuits 15 Luminaires 9
Amps 200 Switches 30 Receptacles 4
Appliances
Use /Nature of NSFR/ New 1 story house with a two car attached garage '"'check #2782
Work
Fees: Valuation $5,500.00 Plan Approval $0.00 Permit Fee Paid $145.00
Issued By: of-ni Date 06/13/2011
❑ Permit Voided I Parcel Id # 1336260000
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 Date
Agent/Owner
Address 4932 W 9TH STREET RD OSHKOSH WI 54904 - 6530 Telephone Number (920) 233 -3667
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 RECEIVED
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 JUN 3 2011
Fax (920) 236 -5084 OJHKOJH
DEPARTMENT OF ON THE WATER
ELECTRICAL PERII,tP 1 4'• i +
All information after bold ca egones must be prove. ed.
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
if you want this processed through your account ❑
�t, DATE 6 - 3
JOB ADDRESS 3.3 ° 9 / t 0 6 L 1, 44.r.(
OWNER r :.‘ 12{44o(
CONTRACTOR /)C.
CHECK Ed ALL APPLICABLE
USF�CATEGORY
mgle Family ❑Duplex ❑Multi - Family DRental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable DUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 V / 2. Receptacles # 4 Circuits # / i
Phase 1
Amps Switches # 3 Fixtures #
CHECK ALL APPLICABLE
UrRange ❑ washer bage Disposal er ❑Water Heater
❑Fan OR Blower unlace A/C DElectric Sign
DMotors ❑ Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE tit. Cu nj h►
VALUE (Including labor and all m ials including li ht fixtures) $ 50 0
MASTER ELECTRICIAN
3/02