HomeMy WebLinkAbout0101652-ElectricOSHKOSH
ON THE WATER
,Job Address 775 WEATHERSTONE DR
Contractor HOMEOWNER
Service ~) New
Volts 120 / 240
Amps 200
CITY OF OSHKOSH
ELECTRIC PERMIT -APPLICATION AND RECORD
Change (~) Temp
Owner
Category
Circuits
Switches
No 101652
MIKE BEAMAN Create Date 05/20/2003
611 - Residential-New Single Family Wirin Plan
....... (~ Underground
Type (~) Overhead ............... ~
30 Fixtures 40
40 Receptacles 60
Appliances ~,ange, Dishwasher, Garbage Disposal, Dryer, Furnace, A/C
Use/Nature of ~SFR/ New single family 2 stow, 3 car attached garage and 16' x 16' deck. 200 amp underground service and wiring for new house per
Work 2ode.
Fees: Valuation $~,000.00 Plan Approval
$0.00 Permit Fee Paid $105.00
[] Permit Voided
Date 5/20/03
The undersigned, in applying for an Electric Permit to perform electrical work within a single family home, owned and occupied
as the principle residence by the undersigned, hereby acknowledges per City Municipal Code Section 11-22, that other
individuals may not be employed to assist with the work described in this permit unless said individuals are licensed by the
City of Oshkosh to perform said work.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO BOX 3864 Oshkosh WI 5490 - 0000 Telephone Number 361-2643
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.
O/HKO/H
ON THF \,VATEE
· 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 4ccount System and have adequate funds, check here
(f ¥ou want this processed through your account []
CItECK ~l ALL APPLICABLE
U.~ CATEGORY
/~Single Family F1Duplex F1Multi-Family
SERVICE ,~w FITemporary
I"lChange F1Not Applicable
F1Rental
TYPE
FILL IN TIlE APPROPRIATE BLANK WITH TIlE NUMBER
Volts I ~ / ~O Receptacles # ~9 ~
Phase I ~L~
Amps ~.00 Switches #
r-lCommercial IDlndustrial
FiOverhead FINot Applicable
~lnderground
Circuits
Fixtures
CR-ECK [] ALL APPLICABLE
~!~ange ~t~ishwasher
F1Fan OR Blower ~:m~umace
F1Motors F1Gas Pumps
A~arbage Disposal
I2Other
DESCRIPTION OF ALL WORK BEING DONE ~-OO
.~ryer
DElectric Sign
FIWaterHeater
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN
3/02