HomeMy WebLinkAbout0158561-Electric ;
/� CITY OF OSHKOSH No 158561 F
� f
OSHKOSH ELECTRIC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3300 CASEY TRL Owner CASEY'S MEADOW LLC Create Date 10/23/2013
Contractor BOE ELECTRIC LLC ___ Category 611 -Residential-New Single Family Wirin Plan
Inspector Adam Krause
Service i� New � Change � Temp � N/A Type � Overhead � Underground
—
Volts 120/240 Circuits Luminaires
Amps 200 Switches _ Receptacles
Appliances �,
Use/Nature of �NSFR/Wiring a 1 story home with a 3 car attached garage, 12'x12'rear concrete patio. The basement is unfinished.
Work
I**ck#2220'*
' i
��� _ — �
Fees: Valuation $5,000.00 Plan Approvai $0.00 Permit Fee Paid $138.00
Issued By: Date 10/31/2013
❑ Permit Voided', Parcel Id# 1329311049
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 b fore starting such activity.
Signature � d� 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 specifed 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 54903-1 1 30
Phone(920)236-5050 O.IHK01H
F� (920)236-5084
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$100.00 plus the
normal permit fee,which ever is greater.
OR
I�you are a contractor participatinQ in the Permit Fee Account System and have adequate funds check here
if vou want this processed through vour account ❑
DATE �U �3 1 "I �
JOBADDRESS ���v ��'`�'`'`c� ��`"� 1
OWNER C� In�e 6"` 'bt'c'�'
CONTRACTOR �d R �f tG�r,L ��"C `
E
CHECK 0 ALL APPLICABLE
r
USE CATEGORY
[�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
SERVICE 1SINew ❑Temporary TYPE ❑Overhead ❑Not Applicable '
❑Change ❑Not Applicable ,�Underground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /� /Z�/a Receptacles# Circuits#
P6ase /
Amps Zc�v Switches# Fixtures#
CHECK�ALL APPLICABLE
❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater
�Fan OR Blower ❑Furnace ❑A/C ❑Electric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE
�J
VALUE(Including labor and all materials including light fixtures)$ ���U,
MASTER ELECTRICIAN �`"Y)../� � �
3/02