HomeMy WebLinkAbout0104273-ElectricOSHKOSH
ON THE WATER
.lob Address 2395 HICKORY CT
Contractor J.A.W.S. ELECTRIC
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner STEVEN M/LYNNE PETR
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 35
Switches 50
No 104273
Create Date 07/29/2003
Plan
~ Underground
Fixtures
Receptacles
35
7O
Appliances Range, Dishwasher, Furnace, Garbage Disposal, A/C & Dryer.
Use/Nature of NSFR/Wiring of new home.
Work
Fees: Valuation
Issued By:
$5,880.00 Plan Approval
$0.00 Permit Fee Paid $120.00
Date 09/18/2003
Permit Voided
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 PO BOX 22 VAN DYNE WI 54979 - 22 Telephone Number
920-517-0576
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
O/HKO/H
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 m fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
lf ¥ou are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
,OB 'D SS 23?
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
~)~single Family 12Duplex [:]Multi-Family
SERVICE ~l[New mTemporary
F1Change I-1Not Applicable
F1Rental F1Commercial [2Industrial
TYPE I-IOverhead mNot Applicable
~Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts ~ ~..0 / ~2k~ Receptacles # '~ (~> Circuits #
Phase ] ~
Amps 2OC~> Switches # ~'~) Fixtures #
CHECK [] ALL APPLICABLE
I~Range ~Dishwasher ~Garbage Disposal
IDFan OR Blower ~Fumaee J~A/C
I"lMotors [:]Gas Pumps F1Other
]~tyer
DElectric Sign
mWater Heater
DESCRIPTION OF ALL WORK BEING DONE
/
V~'UE (Including labor and all materials including light fixtures) $
3/02