HomeMy WebLinkAbout0156412-Electric � CITY OF OSHKOSH No 156412
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3341 MOCKINGBIRD WAY Owner NEY TRUST Create Date 06/26/2013
Contractor BOE ELECTRIC LLC Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service � New 0 Change � Temp � N/A Type � Overhead � Underground '
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Volts 120/240 Circuits Luminaires
Amps 200 Switches _ Receptacles
Appliances
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Use/Nature of NSFR/WIRING FOR NEW HOME •'check#2110
Work i
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Fees: Valua ' n $14,000.00 Plan Approval $0.00 Permit Fee Paid $247.00
Issued By: ��� Date 06/26/2013
❑ Permit Voided � Parcel Id# 1336320000
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 approv before starting such activity.
Signature ��� Date - �—/�
AgenUOwner
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 Oslikosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Of HKOf H
ON THF WATFR
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$100.00 plus the
normal permit fee,which ever is greater. :
OR
If vou are a contractar narticinatinQ in the Permit Fee Account Svstem and have adepuate fitnds check here
If vou want this nrocessed through your account ❑
33�i DATE �(o '"G'�/3
JOB ADDRESS -��`� mo�r�i:.��lr�
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OWNER �za¢� /1/c-Y
CONTRACTOR �,,� �l/�T`G �.L G
CHECK C�1 ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE�New ❑Temporary TYPE ❑Overhead ❑Not Applicable
❑Change DNot Applicable �Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts_/Z� / ZfO Receptacles# Circuits#
Phase /
Amps 2o c� Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑GarbageDisposal ❑Dryer ❑WaterHeater
❑Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE �� �o�.s���L-���'n
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VALUE(Including labor and all materials including light fixtures)$ l`� C����
MASTER ELECTRICIAN �'��.�,� �---
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