HomeMy WebLinkAbout0153526 - Electric (new Mobile Home) CITY OF OSHKOSH No 153526
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1304 INDIGO DR Owner FLOOD HOMES INC Create Date 11/13/2012
Contractor KOLLMANN ELECTRIC LLC Category 611 -Residential-New Single Family Wirin Plan
-- - —
Inspector Adam Krause
Service • New 0 Change 0 N/A Type e 0 Temp YP 0 Overhead • Underground
Volts 120/240 Circuits — Luminaires
Amps 200 Switches Receptacles
Appliances
Use/Nature of NEW MOBILE HOME/NEW METER PED&WIRING FROM PED TO TRAILER **check#2667
Work
Fees: Valuation _ $1,400.00 Plan Approval $0.00 Permit Fee Paid $77.00
Issued By: Date 11/13/2012
❑ Permit Voided] Parcel Id# 1307310100
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 sOcure any necessa ovals before starting such activity.
Signature " //
Date
Agent/Owner
Address PO BOX 26 VAN DYNE WI 54979 -26 Telephone Number (920)273-0701
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 Of-KOfH
Cn T.ic LWMfR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account ❑ jf
T DATE 1F a-1,2
JOB ADDRESS 130 7/� 1 i t 00 �r
OWNER F No d ijivle-5
CONTRACTOR 1:i/o+etsle I r fCt fr■'G Z-j- C_
CHECK®ALL APPLICABLE
USE CATEGORY
IKSingle Family ODuplex :Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE RNew OTemporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable gUnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 01.7 / Q YO Receptacles# Circuits#
Phase
Amps a CX/ Switches# Fixtures#
CHECK 0 ALL APPLICABLE
ORange ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
OFan OR Blower ❑Furnace DA/C DElectric Sign
DMotors ❑Gas Pumps DOther
DESCRIPTION OF ALL WORK BEING DONE Pe w 719e fee- Ad' iA w.-v-i4<€
A.,'- R?di •ti) 'Tref. /e.r- s.1
VALUE(Including labor and all materials including light fixtures)$ //100
MASTER ELECTRICIAN .r.d � .r-.---
3/02