HomeMy WebLinkAbout0151609 - Electric (wiring for New Home) 0 CITY OF OSHKOSH No 151609
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3316 MOCKINGBIRD WAY Owner RUSCH HOMES Create Date 07/12/2012
Contractor BOE 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 Luminaires
Amps 200 Switches Receptacles
Appliances Range, Dishwasher,Furnace, Garbage Disposal,A/C, Dryer,Water Heater
Use/Nature of NSFR/WIRING FOR NEW HOME '*check#1625
Work
Fees: Valuation $4,200.00 Plan Approval $0.00 Permit Fee Paid $128.00
Issued By: Date 08/09/2012
Permit Voided Parcel Id# 1336250000
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 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
(11111--6-)ir
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
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
if you want this processed through your account ❑
DATE 7- 21--/
JOB ADDRESS rIlpc.641r) b;t�vd
OWNER vsck '1 Y+.ts LLc
CONTRACTOR sc Etic.4e.< L L L
CHECK El ALL APPLICABLE
USE CATEGORY
tpSingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE" lNew ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable lUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /ZO / 2V0 Receptacles# Circuits#
Phase
Amps 20 p Switches# Fixtures#
CHECK RI ALL APPLICABLE
E1Range ElDishwasher RIGarbage Disposal Wryer Water Heater
❑Fan OR Blower (BlFumace JA/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE A)c.,.; Coft s ivNici o..
VALUE (Including labor and all materials including light fixtures) $ % 2v' ' i"
MASTER ELECTRICIAN in.-
3/02