HomeMy WebLinkAbout0105866-ElectricCITY OF OSHKOSH
105866
No
OSHKOSHELECTRIC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job AddressOwnerCreate Date12/01/2003
2355 SHORE PRESERVE DRFOX CITIES CONSTRUCTION CORP
ContractorSCHAFER ELECTRIC INCCategory611 - Residential-New Single Family WiringPlan
ServiceTypeOverheadUnderground
NewChangeTemp
Volts120 / 240Circuits0Fixtures0
Amps200Switches0Receptacles0
Range, Fan or Blower, Dishwasher, Furnace, Garbage Disposal, A/C, Dryer
Appliances
Use/Nature of NSFR/ New single family 2 story
Work
Plan Approval$0.00
Fees: Valuation$5,500.00Permit Fee Paid$120.00
Issued By:Date12/29/2003
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.
SignatureDate
Agent/Owner
6364 COUNTY ROAD ANEENAHWI549560920-725-2031
Address-Telephone Number
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.
City of Oshkosh
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
Phone (920) 236 -5050
Fax (920) 236-5084 i 411 H
� 07i!ra WATER
ELECTRICAL PERMIT APPLICA 6 _ t .
All information after bold categories must be upyided.
Incomplete applications will not be process'eU l a y- �!,�
OF
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Se iwZA rPO Box 1128,
Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifyou are a contractor participating in the Permit Fee Account System and have adequate funds. check here
if you want this processed through your account ❑
DATE /0 -2V-
JOB ADDRESS 02 3 SS tr
OWNER G Ala`:
CONTRACTOR AZ-4-A,- 2.6 .44..-
CHECK H ALL APPLICABLE
USF CATEGORY
IRSingle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
SERVICE J2New ['Temporary TYPE ❑Overhead ❑Not Applicable
❑Change ❑Not Applicable gltJuderground
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts /. / 2 Yo Receptacles # Circuits #
Phase /
Amps a o o Switches # Fixtures #
CHECK El ALL APPLICABLE
BRange ,Dishwasher J2Garbage Disposal ,2ettyer ❑Water Heater
,Zan OR Blower .D urnace ,3A/C DElectric Sign
❑Motors ❑Gas Pumps ❑Other
DESCRIPTION OF ALL WORK BEING DONE tfriii 1
1
VALUE (Including labor and all materials including light fixtures) $ ..5.5 • av
MASTER ELECTRICIAN 64k
3/02