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OSHKOSH
ON THE WATER
Job Address 3072 LAKE REST LN
Contractor SCHOMMER ELECTRICAL CONTRACTU
CITY OF OSHKOSH
No
122342
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner DAVID C & JOAN M RITMANICH Create Date 08/31/2006
Category 611 - Residential-New Single Family Wirin Plan
Service
Ie New
120/240
Circuits
Luminaires
o Change 0 Temp
ON/A
Type 0 Overhead
. Underground
Volts
Receptacles
Amps
200
Switches
Appliances
Range, Dishwasher, Furnace, Garbage Disposal, AlC, Dryer
Use/Nature of NSFRI WIRE A NEW HOME WITH 200AMP UG SERVICE
Work
Fees: Valuation
$4,675.00
Plan Approval
$0.00
Permit Fee Paid
$128.00
Issued By: ~(~
Date 10/31/2006
o Permit Voided!
Parcelld # 1415700000
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.
Signature Date
Agent/Owner
Address
N164 TWO MILE RD
APPLETON WI 54914 - 9121
Telephone Number 920-731-2299
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 oHnspecrion Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
J>
Gel 3 \ 2006 cI'
~
OfHKOfH
ON THF WATER
ELECTRICAL PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall. Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903..1128. Commencing work withoutpermit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are CleDT/tractor DurticiDutinf in the Permit Fee Account System and have adeQuate funds. check here
if vou want this processed throuf!h your account 0
DATE 10/26/06
JOB ADDRESS 3072 Lake. Rest Lane
OWNERPortside Bnildp.n: / D:nri cl ^' Tn"''' R; tUlallich.
CONTRACTOR SEC. Inc.
CHECK IiI ALL APPLICABLE
USE CATEGORY
tE'SingleFamily
SERVICE tJrNew
OChange
ODuplex
DMulti-Family
DRental
DCommercial
o Industrial
OTemporary
DNot Applicable
TYPE OOverhead
JQUnderground
ONot Applicable
FILL IN THE APPROPRIATE BLANK WITHTHE NUMBER
Volts
Phase
Amps
120 I 240
single
200
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK liJ ALL APPLICABLE
lBRange~ShWaSher
OFan OR Blower mumace
OMotors OGas Pumps
~bage Disposal
QJ(/C
o Other
ebryer OWater Heater
OElectric Sign
DESCRIPTION OF ALL WORK BEING DONE
wire new home - 200-amp ng !,:pr,,; "'>
=
VALUE (Including labor and aU materials including light fIXtures) $ 4.67 'i. 00
Fee $128.00
MASTER ELECTRICIAN
Robert A. Schommer
3/02