HomeMy WebLinkAbout0124996-Electric
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OSHKOSH
ON THE WATER
Job Address 4411 ISLAND VIEW DR
CITY OF OSHKOSH
No
124996
ELECTRIC PERMIT - APPLICATION AND RECORD
Owner
CLASSIC HOMES BY KUBA
Create Date OS/25/2007
Contlractor
SCHOMMER ELECTRICAL CONTRACTII
Category 611 - Residential-New Single Family Wirin Plan
o Change 0 Temp
ON/A
Type 0 Overhead
. Underground
Service
Ie New
120/240
Circuits
Luminaires
Volts,
Amps
200
Switches
Receptacles
Appliances Range, dishwasher, furnace, garage disposal, AlC, dryer
Use/Nature of NSFR /1 story home with a 3 car attached garage, 14'x14' rear patio, concrete driveway.
Work
Issued By:
$5,350.00
~
Plan Approval
$0.00
Permit Fee Paid
$145.00
Fee!.: Valuation
Date OS/25/2007
o Permit Voided i
Parcelld #
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 of inspection Services
P.O. Box 1130
()shkos~ VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THF W^TER
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 without perrnit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor par/ielDatin!! in the Permit Fee Account System and have adeQuate funds. check here
if you want this processed throullh your account 0
DATE OS/23/07
JOB ADDRESS 4411 Island View
OWNER Classic Homes by KllbR
CONTRACTOR Schommer Electrical ContrRcrine (SF.r., Iric.)
CHECK iii ALL APPUCABLE
USE CATEGORY
~Single Family
SERVICE ~New
DChange
ODuplex
OMulti-Family
ORentaI
OCommercial
o Industrial
OTemporary
DNot Applicable
TYPE OOverhead
~nderground
DNot Applicable
FILL IN THE APPROPRIATE BLANK WITH THE NUMBER
Volts 120 I 240
Phase single
Amps 200
Receptacles #
Circuits #
Switches #
Fixtures #
CHECK ~ ALL APPUCABLE
~ge
OFan OR Blower
DMotors
@1)ishwasher
ldFumace
DGas Pumps
OOarbage Disposal
It?iQc
DOther
~er DWater Heater
DElectric Sign
DESCRIPTION OF ALL WORK BEING DONE wire new nome
VALUE (Iucluding labor and ~'_'" including tighllixtures) $
MASTER ELECTRICIAN nfJ/w (j. j~
Robert A. Schommer
5,350.00
Fee: $145.00
3/02