HomeMy WebLinkAbout0103865-Electric CITY OF OSHKOSH
OSHKOSH ELECTRIC PERMIT- APPLICATION AND RECORD
ON THE WATER
Job Address 3219 BELLFIELD DR Owner CREATIVE CUSTOM HOMES & DEVELOP
Contractor VAN ERT ELECTRIC Category 611 - Residential-New Single Family Wirin
Service ~) New (~ Change O Tamp I Type ~'~ Overhead
Volts 120/240 Circuits 20
Amps 200 Switches 30
No 103865
Create Date 07/23/2003
Plan
~-~Underground
Fixtures
Receptacles
17
40
Appliances ~ange, Fan or Blower, Dishwasher, Fumace, NC, Garbage Disposal, Dryer & Water Heater.
Use/Nature of ~ISFR/ Wire new home. *Job #F1562-AA.
Work
Fees: Valuation $4,200.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $105.00
[] Permit Voided
Date 09/02/2003
In the performance of this work I agree to perform all work pursuant to roles governing the described construction.
While the City of Oshkosh has no authority to enforce easement restri~ons of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgentJOwner
Address 2000 PROGRESS WAY KAUKUANA WI 54130 - 0 Telephone Number 920-766-3888
TO schedule inspections please call the Inspection Request line at 236-$t28 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.
08/27/02 [2:29 FAX 920 766 0583 VAN ERT ELECTRIC ~005
CRy of Oshkosh
Division of ln~pec6on Services
P.O- Box 11 ~0
Osl~kosk, Wi 54903-1130
Phone (920) 256-$050
Fax (920) 236-5084
Q/HI(O/H
ELECTRICAL PERMIT APPLICATION
Ail iatonmtion after bold categories mo. st be pwvided.
lucoraplete appl~ation~ will not be proce~ed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mallei to Inspection S~wices, PO Box ! 125,
OshkoshWI 54903-1125. Corranenomg work without permi~(s) will result in fees being doubled or $100.00 plu.~
normal permit fee, which ever is greater.
OR
[f~olt_are a contractor varticivatin~ in the Peril ~ee Jc~ount flvstgtn and have adeauate funds, chec~ I
DATE
co ero
CltlgCK ~I ALL APPLICABLE
S E CATEGORY
ingl~ Family r~Duplex DMulti-Family
SERVICE ~New mTemporary
~'Change I-1Not Applicable
I-IRental ElCommaraial Cllnduslfial
TYPE ~Overhead 121Not Appli~ble
/K~Under~round
Circuits
~'~tur~s
CIIECK ~ ALL APPLICABI.~
I-Ip, oange I-IDishwasher I-IGarbage Disposal
ClFan OR Blower EIFumaee EIA/C
EIMotors ClGas Pumps 121Other
DESCRIPTION OF ~.Ir. WORK BEING nONE ~'~ J~/$
[~Dryer ~Water Heater
ClElectrie Sign
VALUE (Ineludlng Lqbor and aU materials including light fixtures) $
MASTER ELECTRICIAN