HomeMy WebLinkAbout0100888-ElectricOSHKOSH
ON THE WATER
.lob Address 3414 EICHSTADT RD
Contractor SCHAFER ELECTRIC INC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Category 611 - Residential-New Single Family Wiring
Amps 200
(~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 100888
Create Date 04/04/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, dishwasher, Garbage Disposal, Dryer, Fan or Blower, Furnace, A/C
Use/Nature of NSFR/Quad-level home with a 2 car attached garage, 10'x12' rear deck.
Work
Fees: Valuation
Issued By:
$4,900.00 Plan Approval $0.00 Permit Fee Paid
$105.00
Date 04/21/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
(920) 725-2031 M 585-31
City of Oshkosh
Dqvision of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
REC E VE [ x-HF,,OX-H
ON TF~E WATER
ELECTRICAL PERMIT APP I PlTTI
All information after bold categories must be provided.
Incomplete applications will nOt b~~'([~EN'r 0F
COMMUNITY DEVELOPMENT
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
.1£¥ou are a contractor participating in the Permit Fee Account System and have adequate £unds, check her~
f£ VOU want this processed through your account []
DATE 9"%/~,- 03
CH]ECK [] ALL APPLICABLE
USE CATEGORY
~t~ngle Family I-IDuplex FqMulti-Family F1Rental
SERVICE f~ew VITemporary TYPE
F1Change [-INot Applicable
[] Commercial [] Industri al
F1Overhead F1Not Applicable
,12'Underground
FILL IN Tlt-E APPROPRIATE BLANK WITH THE NUMBER
Volts /2 o / ~ Vo Receptacles #
Phase /
Amps- ~ o-p Switches #
Circuits #
Fixtures #
CHECK [] ALL APPLICABLE
ange
an OR Blower
IDMotors
J~Dishwasher
J2~umace
[]Gas Pumps
l~'Garbage Disposal
J fwc
F1Other
~er
EIElecthc Sign
F'lWater Heater
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~'r~'ggt9 ' ,..-o
MASTER ELECTRICIAN (~/~ d~_../..~
3/02