HomeMy WebLinkAbout0104774-ElectricOSHKOSH
ON THE WATER
.lob Address 501 DAKOTA ST
Contractor VAN ERT ELECTRIC
Service [~ New O Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RODNEY L/BECKY BUHROW
Category 612- Residential-Single Family Addition/Ret
Amps 100
~ Temp
Type I~ Overhead
Circuits 12
Switches 40
No 104774
Create Date 07/31/2003
Plan
~ Underground
Fixtures
Receptacles
14
40
Appliances Range
Use/Nature of SFR/Fix fire damage. *Job #F1272-CP.
Work
Fees: Valuation
Issued By:
$3,400.00 Plan Approval $0.00 Permit Fee Paid $90.00
Date 10/14/2003
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 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number
920-766-3888
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.
10/13/02 14:$2 FA~ 920 766.~$~$ VAN ERT ELECTRIC ~001
City of oshkosh
Division of Insp~ion Sen, ices
ILO. Box 1
Oshkosk, WI 54903- I 130
Phone (920) 2:~6-50S0
Fax (920) 236-~054
o/ ofa
ELECTRICAL PERMIT APPLICATION
All iafonmtion after bold cat~gorir, s must be provided.
Incomplete applicatiom will not be p~occssccL
· Application(s) and fcc(s) can be b~oughi to City Hall. Room 205 or mailed to Inspection Servi~s, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus
normal pCrmit fcc, which ever is greater.
OR ·
lf. pou are a contractor oarticit~ttting tn the PermUte Account System and have adeauate funds, check /
ff vou wane thfs oroces~ed'throu,h your account '~
OAXZ lO
CHECK [~ ALL APPLICABLE
inCATEGORY
gl¢ Family C]Duplex CJMulti-Family
SERVICE I-I~cw ElTemporary
,~itL~hangc CINot Applicable
VIRental V1CornmerciaI EllndUStrial
TYPE.,.~v~hcad VINot Applicable
· vIUnd~rgrotmd
FILL IN l-u~ APPROPRIATE BLANK V, aITH TEIE ~ER
Ph~e I
~ps /~ _ Swltcb~ ~ ~
Circuits
Fb~ures #
CHECK I~I ALL APPLICABLE
~an~e VIDishwash~ vIC-rarbage Disposal
VIFan OR Blower EIFumace EIA/C
VIMotors VIGas Pumps C]Oth~r
VlDr~er VlWnter Heater
ElEIcclzic Sign