HomeMy WebLinkAbout0103188-ElectricOSHKOSH
ON THE WATER
.lob Address 4610 SHAMBEAU DR
Contractor SCHMIT ELECTRIC LLC
Service [~ New ~ Change
Volts 120 / 240
CITY OF OSHKOSH
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner MARTIN I/CAROLY DARGEVICS
Category 611 - Residential-New Single Family Wiring
Amps 200
~) Temp
Type I~ Overhead
Circuits 26
Switches 47
No 103188
Create Date 06/30/2003
Plan
~ Underground
Fixtures
Receptacles
48
4O
Appliances Range, Fan or Blower, Dishwasher, Furnace, Garbage Disposal, A/C, Dryer
Use/Nature of NSFR/1 story ranch home with a 2.5 car attached garage, 22' wide concrete driveway, NO DECK OR PATIO.
Work
Fees: Valuation
Issued By:
$5,200.00 Plan Approval $0.00 Permit Fee Paid $120.00
Date 07/30/2003
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 110 CHRISTOPHER CT Combined Lock,~ WI 54113 - 0 Telephone Number
920-759-0541
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 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ELECTRICAL PERMIT APPLICATION
All information after bold categories nlust be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THE WATER
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Osl/kosh 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
lf you are a contractor participating in the Permit Fee Account System and have adequate funds, check here
if you want this processed through your account []
CItECK [] ALL APPLICABLE
USE CATEGORy
(~lBfffgle Family [3Duplex nMulti-Family nRcntal
SERVICE I~N'~ew [2Temporary
[2Change ONot Applicable
FILL IN ~ APPROPRIATE BLANK WITH TIlE NUMBER
Volts / ~ 0 /~2/-~ Receptacles # q ~
Phase ~' 47
Amps fl-C~ (~ Switches fl
JUL 1 6 2003
DEPARTNIENT OF
CONiI IUNITY DEVELOPMENT
nCommercial nlndustrial
TYPE FIOverhead
E~lSwd~ground
nNot Applicable
Circuits# ~-¢
Fixtures # ~ 00'
CHECK [] ALL APPLICABLE
[~l~nge ~Dishwasher
~ OR Blower [~lfuumace ~I'ATC
U1Motors nGas Pumps mOther
DESCRIPTION OF ALL WORK BEING DONE
-[~-~rbage Disposal
[2Electric Sign
nWater Heater
VALUE (Including labor and alPmaterials inclgding light fixtures)
MASTER ELECTRICIAN ~ - ,
3/02