HomeMy WebLinkAbout0097896-Electric
~'.
OSHKOSH
ON THE WATER
Job Address 2250 HICKORY CT
CITY OF OSHKOSH
No 97896
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
GARY/ BECKY GALlCA
Create Date 09/06/2002
Contractor
SCHOMMER ELECTRICAL CON
Category 611 - Residential-New Single Family Wirin Plan
Service
o New
Volts 120/240
Circuits
Type 0 Overhead
o
o Underground
o Change
o Temp
Fixtures
o
o
Amps 200
Switches
o
Receptacles
Appliances
Range, Dishwasher, Water Heater, Fan or Blower, Garbage Disposal, Furnace, Dryer & AlC.
Use/Nature of NSFRI Wire new home.
Work
Fees: Valuation
Issued By: K VV'
$5,075.00
Plan Approval
$0.00
Permit Fee Paid
$120.00
Date 10/09/2002
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
~
OJI-KOJH
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 AP~LICATION
All information after bold categories must be provided.
Incomplete applications will not be proces
OCT 0 ..
.9 20(;?
COMM~7:~jM!:'- -_
, -"-, '"1;;.1'17
JOB ADDRESS 2250 Hickory Ct.
OWNER Gallery Homes
CONTRACTOR Schommer Electrical Contracting. Inc.
CIRCLE ALL APPLICABLE
USE CATEGORY~NG~E FAMI~DUPLEX MULTI-FAMILY
SERVICE ~ CHANGE
TYPE OVERHEAD ~DERGR~
NO. OF FIXTURES SWITCHES
RENTAL
COMMERCIAL
INDUSTRIAL
TEMPORARY
NOT APPLICABLE
NOT APPLICABLE
RECEPTACLES
CIRCUITS
200
VOLTS 120
/ 240
PHASE Single
AMPS
CHECK ALL APPLICABLE
RANGE
V'
WATER HEATER /
GARBAGE DIS~OSAL vi
DI SHWASHER /'
FAN OR BLOWER
~
FURNACE ./
DRYER V-
A/ C V'
ELECTRIC SIGN
MOTORS
GAS PUMPS
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 fee, which ever is
greater.
VALUE
(Including labor and all materials including
ELECTRICIAN i{~t/ j~
Roberf A. Schommer
light fixtures) $ 5.075.00
Fee Amt - $120.00
MASTER