HomeMy WebLinkAbout0104959-ElectricOSHKOSH
ON THE WATER
.lob Address 2375 HICKORY CT
Contractor ZWIERS ELECTRIC
Service [~ New (~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner SHIRLEY DOEMEL
Category 611 - Residential-New Single Family Wiring
Amps 200
~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 104959
Create Date 10/14/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Garbage Disposal, Dryer, Dishwsher, Fan or Blower, Furnace, A/C
Use/Nature of NSFR/2 story home with a 2 car attached garage and screened in porch.
Work
Fees: Valuation
Issued By:
$9,031.00 Plan Approval $0.00 Permit Fee Paid $180.00
Date 10/24/2003
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 N4189 MURPHY RD KAUKAUNA WI 54130 - 0 Telephone Number
920-788-2533
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.
Division of Inspection Services
215 Church Avenue
P.O. BOX 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5046
RECEWED
OCT 1 0 2003
JOB ABDRESS
co~r~CTOR
-- DEPARTMENT OF
~ll i~ormat~o~ a~te~ bold eate~ories m~st ~e pro~OJ~UNITY DEVELOPMENT
Incomplete applications will not be processed.
DATE IO/F/O 3
CIRCLE ALL APPLICABLR
SERVICE ~ CHANGE TEMPORARY
NO. OF FIXTURES SWITCHES RECEPTACLES
~Ps ~00 VOLTS /~ / ~VO P~SE
COMMERCIAL INDUSTRIAL
NOT APPLICABLE
CIRCUITS
CHECK ALL APPLICABLE
R3LNGE ~/ WATER HEATER
DISHWASHER ~ FAN OR BLOWER
GARBAGE DISPOSAL
DRYER /
A/c /
ELECTRIC SIGN
MOTORS GAS PUMPS OTHER
DESCRIPTION OF ALL WORK BEING DONE
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 all materials including light fixtures)
FASTER ELECTRICIAN