HomeMy WebLinkAbout0104718-ElectricOSHKOSH
ON THE WATER
.lob Address 2475 SHORE PRESERVE DR
Contractor SCHAFER ELECTRIC INC
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner NORTHSHORE REAL ESTATE DEVELOPM
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104718
Create Date 09/15/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Fan or Blower, Dishwasher, Furnace, Garbage Disposal, A/C & Dryer.
Use/Nature of NSFR/ Wiring for new home.
Work
Fees: Valuation
Issued By:
$5,400.00 Plan Approval $0.00 Permit Fee Paid $120.00
Date 10/10/2003
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 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
920-725-2031
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 a£ter bold categories must be l~i~Tt~l~,vr r~
· 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 pernut(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 participatin~ in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
DATE
JOB ADDRESS _~ ~/75- ~
OV/'NER ,~" _,~lt, ~ ~9~~'-
Co r CTOR
!
CHECK [] ALL APPLICABLE
~ CATEGORY
~Single Family F1Duplex F1Multi-Family
SERVICE J2~ew FITemporary
[]Change [ZlNot Applicable
E]Rental F1Commercial r-llndustrial
TYPE DOverhead [~Not Applicable
,12Er'nderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts / ~.~, ! ;1 Yo Receptacles # Circuits #
Phase /
Amps- ~P ~ Switches ~ Fixtures #
CRI*,CK [] ALL APPLICABLE
~,l~FRange 12~ishwasher ~3arbage Disposal ,12~yer
an OR Blower l~Furnace I~'A/C F1Electric Sign
F1Motors I~Gas Pumps FlOther
DESCRIPTION OF ALL woRK BEING DONE
U1Wat~r Heater
VALUE (Including labor and all materials including light fixtures)
MASTER ELECTRICIAN .~/..~/,...~.. .
3/02