HomeMy WebLinkAbout0094421-Electric
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OSHKOSH
ON THE WATER
Job Address 2155 HICKORY CT
CITY OF OSHKOSH
No 94421
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner CLASSIC HOMES BY KUBA Create Date 05/16/2002
Contractor SCHOMMER ELECTRICAL CON
Category 611 - Residential-New Single Family Wirin Plan
Service
b New
o Change
o Temp
Volts 120/240
Circuits
Type 0 Overhead
o
o Underground
Fixtures
o
Amps 200
Switches
o
Receptacles
o
Appliances Range, Water Heater, Garbage Disposal, Dryer, Dishwasher, Fan or Blower, Furnace & AlC.
Use/Nature of NSFRI New home wiring.
Work
Fees: Valuation
\LW'\
$5,500.00
Plan Approval
$0.00
Permit Fee Paid
$120.00
Issued By:
Date 05/16/2002
D Permit Voided I
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature
Date
Address
N 164 TWO MILE ROAD
Agent/Owner
APPLETON
WI 54914 - 9121
Telephone Number (920) 731-2299
t>. !;:
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Qfl----KOJR
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 Contractin~. Inc.
CIRCLE ALL APPLICABLE
USE CATEGORY GNGLE F~ DUPLEX MULTI-FAMILY
SERVICE @ CHANGE
TYPE OVERHEAD ~ERGRO~
NO. OF FIXTURES SWITCHES
RENTAL
COMMERCIAL
INDUSTRIAL
TEMPORARY
NOT APPLICABLE
NOT APPLICABLE
RECEPTA~LES
CIRCUITS
AMPS
200
VOLTS 120 I 240
PHASE Sin~le
CHECK ALL APPLICABLE
RANGE ./
WATER HEATER /
FAN OR BLOWERV
V"
DRYER V
AI C t/
DISHWASHER V
GARBAGE DIS~OSAL
FURNACE V"
ELECTRIC SIGN
MOTORS
GAS PmyIPS
OTHER
DESCRIPTION OF ALL WORK BEING DONE New Home Wiring
. Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit feel which ever is
greater.
VALUE (Including labor and all materials including light fixtures) $5,500.00
he. - $/ao.OO
MASTER ELECTRICIAN 1?~O.J?~
Robert A. Schommer