HomeMy WebLinkAbout0154100-Electricr1
OSHKOSH
ON THE WATER
Job Address 3920 EDGEWOOD RD
Contractor ZARDA ELECTRIC LLC
Inspector Adam Krause
CITY OF OSHKOSH No 154100
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner JUDD TARA KING
Category 611 - Residential -New Si
Service New O Change O Temp N/A
Volts 120/240 Circuits
Amps 200 Switches
Appliances
Use /Nature of NSFR / WIRING FOR
Work
Create Date 12/18/2012
Familv Wirin Plan
Type O Overhead Underground
40 Luminaires
60 Receptacles 50
Fees: Valuation $9,500.00 Plan Approval $0.00 Permit Fee Paid $223.00
Issued By: j''�/}� L
❑ Permit Voided
Date 01/07/2013
Parcelld #
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 y e als bef arting such activity. 2
Signature l Date f /.J
IV- ' v Agent/Owner
Address 2000 OAKRIDGE RD NEENAH WI 54956 - 2122 Telephone Number (920) 475 -0344
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
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
4
Of HKO H
ON THE WATER
• 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 adeguate funds check here
if you want this processed through your account ❑
JOB ADDRESS V0 &_ u
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CHECK E[ ALL APPLICABLE
USE CATEGORY
DATE l Z— / 7
v
1P ingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE ❑New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable Mnderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts d / 2, Receptacles # Circuits # o
Phase /
Amps 200 Switches # Fixtures #
CHECK 0 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 ' A L A,17rj .�
VALUE (Including labor and all materials including light fixtures) $. �
MASTER ELECTRICIAN
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