HomeMy WebLinkAbout0094420-Electric (temp service)
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OSHKOSH
ON THE WATER
Job Address 2155 HICKORY CT
Contractor SCHOMMER ELECTRICAL CON
CITY OF OSHKOSH
No 94420
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CLASSIC HOMES BY KUBA
Create Date 05/16/2002
Service
o New
o Change
o Temp
Category 601 - Residential-Temporary Services
Type 0 Overhead
Plan
o Underground
Volts
Circuits
o
Fixtures
o
Amps
o
Switches
o
Receptacles
o
Appliances
Use/Nature of NSFRI Temp Service
Work
Fees: Valuation
Issued By: K '<V\
$100.00
Plan Approval
$0.00
Permit Fee Paid
$20.00
Date 05/16/2002
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address N 164 TWO MILE ROAD
APPLETON WI 54914 - 9121
Telephone Number (920) 731-2299
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OJH<OJH
ON THE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
phone (920) 236-5046
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 05/15/02
JOB ADDRESS 2155 Hickory Ct.
OWNER Classic Homes by Kuba
CONTRACTOR Schommer Electrical Contracting. Inc.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE NEW CHANGE ~EMPO~ NOT APPLICABLE
TYPE
OVERHEAD
UNDERGROUND
NOT APPLICABLE
RECEPTACLES CIRCUITS
/ PHASE
NO. OF FIXTURES
SWITCHES
AMPS 100
VOLTS
CHECK ALL APPLICABLE
RANGE
WATER HEATER
GARBAGE DISPOSAL
DRYER
DISHWASHER
FAN OR BLOWER
FURNACE
A/C_
ELECTRIC SIGN
MOTORS
GAS PUMPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE temporary Service
. Submit payment with application. Failure to pay within 30 days will result 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) $100.00
../J ~ ~ -I- 0 1 _ . Fee $~O. 0.!2.
MASTER ELECTRICIAN 1) MifJL! a-4C/l1JrrlJ'mtA-
Robert A. Schommer