HomeMy WebLinkAbout0146315-Electric l CITY OF OSHKOSH No 146315
OSHKOSH ELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3340 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 16 Luminaires 9
Amps 200 Switches 30 Receptacles 40
Appliances
Use /Nature of NSFR/ Quad level home with a 2 car attached garage. *"check #2782
Work
Fees: Valuati $5,500.00 Plan Approval $0.00 Permit Fee Paid $145.00
Issued By: ))��� �'M)) Date 06/13/2011
❑ Permit Voided Parcel Id # 1336220000
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
P.O. Box 1130 6 r
Oshkosh, WI 54903 -1130 R
Phone (920) 236- 5050 �� '�
Fax (920) 236 -5084 JUN 3 2 if HK01H
ON THE WATER
ELECTRICAL PERMIT APPLIC T NTMEN OF
All information after bold categories must . VEs - ; DEVELOPMENT
Incomplete applications will not be pr s 4. • SERVICES DIVISION
• 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 participatingin the Permit Fee Account System and have adequate funds, check here
ifyou want this processed through your account ❑
/ DATE 6".3 "//
JOB ADDRESS S,3 Yo /1 w . L.r&
OWNER 71 kw* ,p(
CONTRACTOR 14.. /4, = 4
CHECK 10 ALL APPLICABLE
USE CATEGORY
❑ Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable ❑Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 1 2. / 2 S Receptacles # l!. Circuits # / C
Phase 1
Amps .2 Co Switches # /0 Fixtures #
CHECK El ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ 5' 3-0,D
MASTER ELECTRICIAN X �s�
3/02