HomeMy WebLinkAbout0102658-ElectricOSHKOSH
ON THE WATER
.lob Address 3400 EICHSTADT RD
Contractor SCHAFER ELECTRIC INC
Service [~ New (~) Change
Volts 120/240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner FOX CITIES CONSTRUCTION
Category 611 - Residential-New Single Family Wiring
Amps 200
(~ Temp
Type I~ Overhead
Circuits 0
Switches 0
No 102658
Create Date 06/19/2003
Plan
~ Underground
Fixtures
Receptacles
Appliances Range, Fan or Blower, Dishwasher, Furnace, Garbage Disposal & A/C.
Use/Nature of NSFR/Wiring of new home.
Work
Fees: Valuation
Issued By:
$4,800.00 Plan Approval $0.00 Permit Fee Paid
$105.00
Date 07/07/2003
Permit Voided
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 6364 COUNTY ROAD A NEENAH WI 54956 - 0 Telephone Number
(920) 725-2031 M 585-31
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-I 130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATIOI
All information after bold categories must be provided.
Incomplete applications will not be processed.
· 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 permit(s) wili result in fees being doubled or $I00.00 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 throuRh Four account []
JOBADDR SS
CONTRACTOR /,.,.-
CHECK [] ALL APPLICABLE
USE CATEGORY
l~ngle Family
SERVICE~ew
DChange
F1Duplex ElMulti-Family
F1Temporary
EINot Applicable
ElRental EICommercial Ellndustrial
TYPE F1Overhead ElNot Applicable
,-l~l'lS'nderground
FILL IN TFI'E APPROPRIATE BLANK WITH THE NUMBER
Volts ! 2.*, / ~ ~ Receptacles # Circuits #
Phase /
Amps- .-~ ~ o Switches # Fixtures #
CHECK [] ALL APPLICABLE
g~ange l~jshwasher ,l~_arbage Disposal F1Dryer
.[~an OR Blower ~l~urnace ,12"A/C F1Electric Sign
IZlMotors 12Gas Pumps r'lOther
DESCRIPTION OF ALL woRK BEING DONE
[3Water Heater
VALUE (Including labor and all materials including light fixtures) $
MASTER ELECTRICIAN
3/02