HomeMy WebLinkAbout0104810 EOSHKOSH
ON THE WATER
.lob Address 2275 PATRIOT LN
Contractor STAFF ELECTRIC CO INC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner RANDALL & LINDA ZAKRZEWSKI
Category 621 - Residential-New Duplex Wiring
Amps 200
~ Temp
No 104810
Create Date 10/16/2003
Plan
Type I~ Overhead ~ Underground I
Circuits 22 Fixtures 20
Switches 34 Receptacles 40
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower (3), Furnace, A/C
Use/Nature of Condo / Wiring of all receptacles, ceiling fans, fixtures, switches and mechanical equipment and installation of panel to builder supplied service
Work entrance.
Fees: Valuation
Issued By:
$4,300.00 Plan Approval $0.00 Permit Fee Paid $105.00
Date 10/16/2003
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 917 BUTLER WI 53007 - 917 Telephone Number
262-781-8230
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.
Job # 18771
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
OCT I 5 20,93
D£?ART ENT OF
ELECTRICAL PERMIT APPLIC T D 'DE¥£LOP ENT
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 10/14/03
JOB ADDRESS 2275 Patriot Lane
OWNER Randall & Linda Zakrzewski
CONTRACTOR Staff Electric Co Inc
CIRCLE ALL APPLICABLE
USE CATEGORY
SERVICE
TYPE
NO. OF
AMPS
SINGLE FAMILY_~ MULTI-FAMILY RENTAL
~ CHANGE
FIXTURES 20 SWITCHES 34
200 VOLTS 120 ~40
COMMERCIAL INDUSTRIAL
TEMPORARY NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES 40 CIRCUITS 22
PHASE 1
CHECK ALL APPLICABLE
R3~NGE x WATER HEATER x GARBAGE DISPOSAL x DRYER x
DISHWASHERX FAN OR BLOWER 3 FURNACE X A/C X
ELECTRIC SIGN MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE Wiring of all receptacles, ~eiling f~ns
~up?~d service entrance.
Submit payment with application. Failure to pay within 30 days will resul~ in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
VALUE (Including labor and ~11 materials including light fixtures) $ 4,300.00
MASTER ELECTRICIAN $105.00