HomeMy WebLinkAbout0092997-Electric
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No 92997
ELECTRIC PERMIT - APPLICATION AND RECORD
Job Address 1809 HICKORY LN Owner THOMAS UMARY L 0 DEGNER Create Date 02/26/2002
Contractor SCHOMMER ELECTRICAL CON Category 611 - Residential-New Single Family Wirin Plan
Service b New o Change o Temp Type o Overhead o Underground
Volts 120/240 Circuits 0 Fixtures 0
Amps 200 Switches 0 Receptacles 0
Appliances Range, Water heater, Garbage disposal, Dryer, Dishwasher, Fan or blower, Furnace & AlC.
Use/Nature of NSFRI New home wiring.
Work
Fees: Valuation
Issued By: \<. \vi
$6,500.00
Plan Approval
$0.00
Permit Fee Paid
$135.00
Date 03/08/2002
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
Address
N 164 TWO MILE ROAD
Agent/Owner
APPLETON WI 54914 - 9121
Telephone Number (920) 731-2299/585-077~
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OJHl(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 03/06/02
JOB ADDRESS 1809 Hickory
OWNER
CONTRACTOR Classic Homes by Kuba
CIRCLE ALL APPLICABLE
USE CATEGORY ~GLE FAM~DUPLEX MULTI-FAMILY RENTAL COMMERCIAL INDUSTRIAL
SERVICE ~~ CHANGE TEMPORARY NOT APPLICABLE
TYPE OVERHEAD ~ERGRO~ NOT APPLICABLE
NO. OF FIXTURES
SWITCHES RECEPTACLES CIRCUITS
AMPS 200
VOLTS 120 / 240 PHASE single
CHECK ALL APPLICABLE
RANGE V'
WATER HEATER / GARBAGE DISPOSAL'/
FAN OR BLOWER ~ FURNACE /
DRYER V
A/C~
DI SHWASHER 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 light fixtures) $ 6,500.00
MASTER
ELECTRICIANf1Ma j~
Robert A. Schommer
SEC, Inc.
Fee Amt - $135.00